NPI | 1093226128 |
---|---|
Former Name | YASHIRA NELLIE RIVERA-SOTO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-21-53860) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-17-34018) |
222Q00000X Developmental Therapist | |
Enumeration Date | 2017-10-16 |
Last Update Date | 2021-10-21 |