NPI | 1083170856 |
---|---|
Former Name | TIFFANY RUZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CO 1-22-63262) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2019-02-15 |
Last Update Date | 2023-02-08 |