| NPI | 1124534326 |
|---|---|
| Former Name | JORDAN FISHER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CO 1-20-44960) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NV LBA0375) |
| 106S00000X Behavior Technician (Licence: CO 15-04512) | |
| Enumeration Date | 2017-12-26 |
| Last Update Date | 2021-03-23 |