| NPI | 1114777844 |
|---|---|
| Former Name | LATONIA MARIE FAMBRO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2024-03-25 |
| Last Update Date | 2024-03-27 |