| NPI | 1205615317 |
|---|---|
| Former Name | SHELLEY H BRANNON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AL 1-24-75796) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: AL RBT-22-208301) |
| Enumeration Date | 2023-09-27 |
| Last Update Date | 2024-09-18 |