NPI | 1093235624 |
---|---|
Former Name | ALYSSA PELKEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MI 7401001547) |
Additional Taxonomies | 106S00000X Behavior Technician |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2017-06-24 |
Last Update Date | 2024-09-04 |