NPI | 1174177836 |
---|---|
Former Name | DESIREE RESHAY SANDERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: KY 267056) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: IN 1-19-36637) |
Enumeration Date | 2019-07-30 |
Last Update Date | 2025-04-02 |