NPI | 1114572633 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: FL 0-24-15424) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL 18-64640) |
Enumeration Date | 2019-08-02 |
Last Update Date | 2024-08-09 |