NPI | 1205496064 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: FL 0-21-13324) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-19-81270) |
Enumeration Date | 2019-06-14 |
Last Update Date | 2022-05-27 |