NPI | 1154851905 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: FL 0-20-10916) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-17-35692) |
Enumeration Date | 2017-06-14 |
Last Update Date | 2020-02-28 |