| NPI | 1033866546 |
|---|---|
| Former Name | MADELINE R SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: VA 0133003978) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MD LBA2056) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2022-03-04 |
| Last Update Date | 2025-01-24 |