Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst |
NPI | 1013358555 |
---|---|
Provider Name | Violet Kyong |
First Address | Gainesville, FL 32608-8803 |
Second Address | Gainesville, FL 32608-8803 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/07/2013 |
Last Update Date | 17/03/2018 |