NPI | 1033674965 |
---|---|
Former Name | KELSIE NICOLE THURMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TN 820) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: IA RBT-19-76901) |
Enumeration Date | 2019-02-05 |
Last Update Date | 2023-02-20 |