| NPI | 1033695614 |
|---|---|
| Former Name | BROOKE WELLENDORF |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NE 1-18-32292) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NE BCBA-1-18-32292) |
| Enumeration Date | 2018-07-17 |
| Last Update Date | 2022-11-01 |