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 | 106S00000X Behavior Technician |
Enumeration Date | 2022-03-04 |
Last Update Date | 2024-11-15 |