NPI | 1154979516 |
---|---|
Former Name | JESSICA VAUGHAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: OH COBA.01301) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: OH NA) |
Enumeration Date | 2019-08-29 |
Last Update Date | 2023-11-20 |