NPI | 1063902930 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-19-40459) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-17-37819) |
106E00000X Assistant Behavior Analyst (Licence: FL 0-18-8789) | |
Enumeration Date | 2018-05-15 |
Last Update Date | 2021-09-11 |