NPI | 1154822195 |
---|---|
Former Name | JESSICA ELIZABETH SLOVEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-21-56783) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2018-02-26 |
Last Update Date | 2023-06-05 |