NPI | 1134645260 |
---|---|
Former Name | AMANDA J KIRKLAND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-19-38023) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: AL 1-19-38023) |
Enumeration Date | 2017-08-21 |
Last Update Date | 2023-03-15 |