| NPI | 1013373562 |
|---|---|
| Former Name | ALICIA JACLYN VEGA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: IN 1-15-21144) |
| Enumeration Date | 2016-01-13 |
| Last Update Date | 2018-08-14 |