Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106E00000X | Assistant Behavior Analyst | 0-18-9282 | FL |
NPI | 1104287119 |
---|---|
Provider Name | Xiomara Sotomayor Perez |
First Address | Miami, FL 33186-5044 |
Second Address | Miami, FL 33186-5044 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/03/2016 |
Last Update Date | 22/08/2019 |