NPI | 1194277269 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: FL 0-21-12567) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-18-59632) |
Enumeration Date | 2016-10-25 |
Last Update Date | 2021-10-19 |