Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | ||
N | 106E00000X | Assistant Behavior Analyst | 0-19-9658 | FL |
NPI | 1073049839 |
---|---|
Provider Name | Sharon Riera Izquierdo |
First Address | Hialeah, FL 33010-2973 |
Second Address | Miami, FL 33186-3723 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/05/2017 |
Last Update Date | 04/11/2021 |