NPI | 1225574684 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: FL 0-21-12587) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL 18-66114) |
Enumeration Date | 2017-01-10 |
Last Update Date | 2021-08-30 |