| NPI | 1003331471 |
|---|---|
| Former Name | DENAE WIGGINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CT 1-18-29820) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CT 567) |
| 222Q00000X Developmental Therapist | |
| Enumeration Date | 2017-08-07 |
| Last Update Date | 2023-05-19 |