Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | 1-21-50707 | FL |
N | 106E00000X | Assistant Behavior Analyst | 0-20-10865 | FL |
N | 106S00000X | Behavior Technician | RBT-18-69065 | FL |
NPI | 1114587409 |
---|---|
Provider Name | Sunielkys Sauleda Sierra |
First Address | Pembroke Pines, FL 33026-3006 |
Second Address | Pembroke Pines, FL 33026-3006 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/06/2019 |
Last Update Date | 28/06/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
103299900 | (05) | FL |