Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106E00000X | Assistant Behavior Analyst | FL | |
N | 106E00000X | Assistant Behavior Analyst | 0-21-11974 | FL |
N | 106S00000X | Behavior Technician | FL |
NPI | 1033621743 |
---|---|
Provider Name | Violet Colon |
First Address | Sarasota, FL 34243-2001 |
Second Address | Sarasota, FL 34243-2001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/11/2017 |
Last Update Date | 26/05/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
102132400 | (05) | FL |