Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | BCBA1-21-55105 | |
N | 106E00000X | Assistant Behavior Analyst | BCABA-0-20-11115 |
NPI | 1053801142 |
---|---|
Provider Name | Yanet Sonora |
First Address | Miami, FL 33126-8351 |
Second Address | Miami, FL 33126-8351 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/05/2018 |
Last Update Date | 05/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
022754900 | (05) | FL |