| NPI | 1164928222 |
|---|---|
| Former Name | NICOLE KITZMILLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: PA BH004983) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: PA RBT-18-52367) |
| Enumeration Date | 2018-04-05 |
| Last Update Date | 2021-04-19 |