NPI | 1134777170 |
---|---|
Former Name | CELESTE GONZALES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 6077) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2019-09-03 |
Last Update Date | 2023-07-31 |