NPI | 1053925552 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NC 1-21-53939) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 1-21-53939) |
106S00000X Behavior Technician (Licence: OH RBT-18-60645) | |
Enumeration Date | 2020-09-02 |
Last Update Date | 2024-01-10 |