NPI | 1205464393 |
---|---|
Former Name | AMANDA J MONDAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: PA BH003575) |
Additional Taxonomies | 103TS0200X Psychologist, School (Licence: PA 7980852) |
Enumeration Date | 2020-04-01 |
Last Update Date | 2020-04-01 |