NPI | 1225409501 |
---|---|
Former Name | KOURTNEY PICKENS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: WA BA60769876) |
Additional Taxonomies | 103K00000X Behavior Analyst |
Enumeration Date | 2015-10-13 |
Last Update Date | 2024-02-23 |