NPI | 1154810448 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-24-74755) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-18-56179) |
106E00000X Assistant Behavior Analyst (Licence: FL 0-21-12854) | |
Enumeration Date | 2018-05-02 |
Last Update Date | 2024-08-07 |