NPI | 1104300318 |
---|---|
Other Name | ZOEY MARGARET BACK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-23-68475) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA BACB453511) |
106S00000X Behavior Technician | |
Enumeration Date | 2018-09-24 |
Last Update Date | 2023-10-24 |