| NPI | 1194372862 |
|---|---|
| Former Name | STEPHANIE BROWN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MI 7401001344) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: MI RBT-17-42683) |
| Enumeration Date | 2019-08-19 |
| Last Update Date | 2022-09-08 |