NPI | 1154998094 |
---|---|
Former Name | SIERRA BURK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MO 2023024778) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT-21-171043) |
Enumeration Date | 2021-06-09 |
Last Update Date | 2023-06-23 |