NPI | 1154923282 |
---|---|
Former Name | ANEESA WARREN RALSTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-22-59934) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: OH 20-122712) |
Enumeration Date | 2020-11-13 |
Last Update Date | 2024-03-26 |