NPI | 1215547658 |
---|---|
Former Name | LAUREN BURKETT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-21-48539) |
Additional Taxonomies | 103K00000X Behavior Analyst |
106S00000X Behavior Technician | |
Enumeration Date | 2020-07-31 |
Last Update Date | 2023-10-27 |