NPI | 1093289381 |
---|---|
Former Name | NIVIDAY ROSS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106S00000X Behavior Technician (Licence: RBT-19-75686) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-19-75686) |
Enumeration Date | 2019-01-20 |
Last Update Date | 2019-01-20 |