Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103K00000X | Behavior Analyst | ||
Y | 106S00000X | Behavior Technician |
NPI | 1003572777 |
---|---|
Provider Name | Vianey Alejandra Salazar |
First Address | Woodland Hills, CA 91367-7807 |
Second Address | Woodland, CA 95695-3652 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/11/2021 |
Last Update Date | 13/12/2021 |