| NPI | 1144649930 |
|---|---|
| Former Name | LAURA ELLEN PRENTICE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-13-13433) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: IL 1-13-13433) |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2019-01-09 |