| NPI | 1093079618 |
|---|---|
| Former Name | SARAH ELAINE FARDELLA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NY 612840121) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NY 612854121) |
| Enumeration Date | 2012-06-28 |
| Last Update Date | 2012-06-28 |