NPI | 1164934980 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-20-45454) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MA LABA10000940) |
106S00000X Behavior Technician | |
222Q00000X Developmental Therapist | |
Enumeration Date | 2017-11-02 |
Last Update Date | 2024-05-21 |