Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106E00000X | Assistant Behavior Analyst |
NPI | 1093259095 |
---|---|
Provider Name | Sherri Stinson |
First Address | Jacksonville, FL 32221-2406 |
Second Address | Jacksonville, FL 32221-2406 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/12/2016 |
Last Update Date | 09/12/2016 |