NPI | 1093232183 |
---|---|
Former Name | KELLI MARIE MEINERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: OH COBA338) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: OH 1-16-22259) |
Enumeration Date | 2017-08-29 |
Last Update Date | 2018-03-17 |