| NPI | 1053744532 |
|---|---|
| Former Name | DAWN FARRELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NY 001033) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: NY 703164131) |
| 251S00000X Community/Behavioral Health (Licence: NY 504297111) | |
| Enumeration Date | 2013-08-19 |
| Last Update Date | 2021-08-30 |