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 |