| NPI | 1154717510 |
|---|---|
| Former Name | ASHLEY NICHOLE LONG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NC 11728514) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2015-04-13 |
| Last Update Date | 2022-09-01 |