NPI | 1194174771 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-21-50503) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT16-17242) |
106E00000X Assistant Behavior Analyst (Licence: FL 0-19-9685) | |
Enumeration Date | 2016-06-06 |
Last Update Date | 2021-06-23 |