| NPI | 1114425055 |
|---|---|
| Former Name | MARCIE CAROL BADHAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-19-40040) |
| Enumeration Date | 2018-01-25 |
| Last Update Date | 2021-09-23 |