NPI | 1073095360 |
---|---|
Former Name | ELYSE ANGEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-20-45012) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2018-09-03 |
Last Update Date | 2023-10-11 |