Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106E00000X | Assistant Behavior Analyst |
NPI | 1063017747 |
---|---|
Provider Name | Tempie M White |
First Address | Irvine, CA 92614-5554 |
Second Address | Lake Balboa, CA 91406-3735 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/12/2020 |
Last Update Date | 01/12/2020 |