NPI | 1134536790 |
---|---|
Former Name | AMANDA CAROLINE KASPAR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-18-29410) |
Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL 0-16-7061) |
Enumeration Date | 2014-07-16 |
Last Update Date | 2022-04-15 |