| NPI | 1124510318 |
|---|---|
| Former Name | SHELBI DEKALB |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: WA BA61008204) |
| 103K00000X Behavior Analyst (Licence: OR 10218122) | |
| Enumeration Date | 2018-06-04 |
| Last Update Date | 2022-06-21 |