NPI | 1073159125 |
---|---|
Former Name | MAKAYLA GIBBS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: KY 288109) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: KY 1-23-67715) |
106S00000X Behavior Technician | |
Enumeration Date | 2019-11-25 |
Last Update Date | 2023-09-21 |