Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106S00000X | Behavior Technician | RBT-16-13563 | AZ |
NPI | 1003317975 |
---|---|
Provider Name | Yoneris Abreu |
First Address | Woodland Hills, CA 91367-7807 |
Second Address | Gilbert, AZ 85296-2268 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/02/2018 |
Last Update Date | 26/02/2018 |