NPI | 1114474525 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-24-75344) |
Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: CO 0-19-9801) |
106E00000X Assistant Behavior Analyst (Licence: GA 0-19-9801) | |
106S00000X Behavior Technician (Licence: CO RBT-16-23745) | |
Enumeration Date | 2016-09-01 |
Last Update Date | 2024-12-03 |