| NPI | 1134660459 |
|---|---|
| Former Name | JESSICA RICHARDSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MI 1-21-48132) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2021-04-19 |