NPI | 1225540891 |
---|---|
Former Name | JOYCE ELIZABETH CHESTNUT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106S00000X Behavior Technician |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NC 819) |
225400000X Rehabilitation Practitioner (Licence: NC 11404) | |
Enumeration Date | 2017-11-03 |
Last Update Date | 2024-01-07 |