NPI | 1164832465 |
---|---|
Former Name | LAURA HAZEL BAKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA 470) |
Additional Taxonomies | 103K00000X Behavior Analyst |
Enumeration Date | 2014-05-07 |
Last Update Date | 2021-11-19 |