| NPI | 1053869719 |
|---|---|
| Former Name | AUTUMN ADDEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2016-09-12 |
| Last Update Date | 2024-09-05 |