Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | 791728 | NY |
NPI | 1013264514 |
---|---|
Provider Name | Semonia Ashmeade-Skeen |
First Address | Bronx, NY 10469-2802 |
Second Address | Bronx, NY 10469-2802 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/08/2012 |
Last Update Date | 14/08/2012 |