NPI | 1043745946 |
---|---|
Former Name | STEPHANIE COLOZZO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA 3929) |
Additional Taxonomies | 222Q00000X Developmental Therapist |
Enumeration Date | 2017-04-27 |
Last Update Date | 2024-06-26 |