NPI | 1023777455 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-24-73761) |
Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL 0-23-14598) |
106S00000X Behavior Technician (Licence: FL RBT-21-192787) | |
Enumeration Date | 2021-12-13 |
Last Update Date | 2024-07-09 |