NPI | 1083131577 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-21-54545) |
Additional Taxonomies | 106E00000X Assistant Behavior Analyst |
106S00000X Behavior Technician (Licence: FL RBT-18-65928) | |
Enumeration Date | 2017-08-24 |
Last Update Date | 2022-07-25 |