| NPI | 1093166894 |
|---|---|
| Former Name | ALYCIA MICHELLE HATTOCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MO 2017028257) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2016-06-23 |
| Last Update Date | 2018-03-17 |