| NPI | 1134629520 |
|---|---|
| Former Name | SHANNON CARTY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: KY 239850) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 11727679) |
| Enumeration Date | 2018-02-13 |
| Last Update Date | 2023-04-19 |