Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106S00000X | Behavior Technician |
NPI | 1003350026 |
---|---|
Provider Name | Yuma Jean Louis |
First Address | North Miami, FL 33181-1110 |
Second Address | North Miami, FL 33181 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/12/2016 |
Last Update Date | 17/07/2018 |