NPI | 1083263115 |
---|---|
Former Name | SHAKEJA MOTTENON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 12154081) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2019-09-11 |
Last Update Date | 2021-10-21 |