NPI | 1003568668 |
---|---|
Former Name | AMY RUTH WEBB |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-21-55509) |
Additional Taxonomies | 103K00000X Behavior Analyst |
106S00000X Behavior Technician | |
Enumeration Date | 2022-01-24 |
Last Update Date | 2023-05-15 |