Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106E00000X | Assistant Behavior Analyst | 0-14-5850 | FL |
NPI | 1114462256 |
---|---|
Provider Name | Sarah Hirsch |
First Address | Pinehurst, TX 77362-4085 |
Second Address | Magnolia, TX 77354-5276 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/12/2016 |
Last Update Date | 28/12/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0-14-5850 | BEHAVIOR ANALYST CERTIFICATION BOARD (01) |