Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | 1-20-41597 | WA |
N | 106E00000X | Assistant Behavior Analyst | 0-19-9877 | WA |
N | 106S00000X | Behavior Technician | 16-25534 | WA |
NPI | 1124519871 |
---|---|
Provider Name | Shaye Lyell |
First Address | Irvine, CA 92606-2417 |
Second Address | Lakewood, WA 98499-3838 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/05/2018 |
Last Update Date | 23/06/2021 |