NPI | 1215696489 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-2582916) |
Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL 0-23-14875) |
106S00000X Behavior Technician (Licence: FL RBT-21-192711) | |
Enumeration Date | 2021-12-14 |
Last Update Date | 2025-07-24 |