NPI | 1134696420 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL BCBA-1-23-68079) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-18-71135) |
Enumeration Date | 2018-10-25 |
Last Update Date | 2023-09-12 |