Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106S00000X | Behavior Technician |
NPI | 1003316050 |
---|---|
Provider Name | Sonya Lesnefsky |
First Address | Pinellas Park, FL 33782-6231 |
Second Address | Saint Petersburg, FL 33702 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/02/2018 |
Last Update Date | 16/02/2018 |