NPI | 1013651785 |
---|---|
Former Name | LYDIA MARIE FERRY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: OH 1-23-69604) |
Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL 0-23-14587) |
106S00000X Behavior Technician | |
Enumeration Date | 2022-04-27 |
Last Update Date | 2024-04-08 |