| NPI | 1104582212 |
|---|---|
| Former Name | LESLIE JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TN 1-22-58298) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: TN RBT-15-04531) |
| Enumeration Date | 2021-11-12 |
| Last Update Date | 2022-03-01 |