NPI | 1164071080 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-25-84265) |
Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL 0-21-12055) |
106S00000X Behavior Technician | |
Enumeration Date | 2019-09-04 |
Last Update Date | 2025-09-23 |