Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103K00000X | Behavior Analyst | MD | |
Y | 106S00000X | Behavior Technician | ||
N | 106S00000X | Behavior Technician | MD |
NPI | 1003488859 |
---|---|
Provider Name | Skyler Rae Offer |
First Address | Columbia, MD 21046-3444 |
Second Address | Columbia, MD 21046-3444 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/07/2021 |
Last Update Date | 12/07/2021 |