NPI | 1124544929 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-21-49934) |
Additional Taxonomies | 106S00000X Behavior Technician |
103K00000X Behavior Analyst | |
Enumeration Date | 2017-08-14 |
Last Update Date | 2021-09-08 |