NPI | 1003104217 |
---|---|
Former Name | SHELBY WARREN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-15-18824) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA BCaBA: 0-11-4018) |
Enumeration Date | 2011-07-21 |
Last Update Date | 2023-04-25 |