NPI | 1215452644 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-21-48480) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-16-12937) |
Enumeration Date | 2017-08-07 |
Last Update Date | 2024-06-20 |