Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | 1-21-55111 | FL |
N | 103K00000X | Behavior Analyst | 11273 | NC |
N | 103K00000X | Behavior Analyst | 8013 | NC |
N | 106E00000X | Assistant Behavior Analyst |
NPI | 1073972923 |
---|---|
Provider Name | Sheena M Piehota |
First Address | Niceville, FL 32578-8784 |
Second Address | Cameron, NC 28326-9379 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/02/2016 |
Last Update Date | 10/12/2021 |