Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106S00000X | Behavior Technician |
NPI | 1003375361 |
---|---|
Provider Name | Sarah Marie Lentini |
First Address | Van Nuys, CA 91405-2003 |
Second Address | Covina, CA 91723-2060 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/03/2019 |
Last Update Date | 17/03/2019 |