NPI | 1184374084 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL BCBA-1-25-83328) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT20134098) |
Enumeration Date | 2022-03-24 |
Last Update Date | 2025-09-02 |