| NPI | 1184228652 |
|---|---|
| Former Name | LAUREN MICHELLE BORDELON-CESPIVA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: CA RBT-20-142481) |
| Enumeration Date | 2020-11-25 |
| Last Update Date | 2020-11-28 |