NPI | 1154084663 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL BCBA12478667) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-19-89496) |
Enumeration Date | 2021-10-21 |
Last Update Date | 2025-01-16 |