NPI | 1134635683 |
---|---|
Former Name | KHEYRSTEN MAASCH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2017-12-20 |
Last Update Date | 2017-12-20 |