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 |