NPI | 1174251581 |
---|---|
Former Name | MICHELLE MUNCH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TN 1-24-74835) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: TN RBT-22-226975) |
Enumeration Date | 2022-08-12 |
Last Update Date | 2024-08-07 |