| NPI | 1073020764 |
|---|---|
| Former Name | NICOLE ANALISE SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: WA BACB364030) |
| Enumeration Date | 2018-01-04 |
| Last Update Date | 2020-07-07 |