| NPI | 1164032835 | 
|---|---|
| Former Name | MIRANDA VALITZSKI | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AZ BEH-001940) | 
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-25-79932) | 
| Enumeration Date | 2020-08-06 | 
| Last Update Date | 2025-08-18 |