NPI | 1225576556 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL BCBA12151730) |
Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL 0-19-10580) |
106S00000X Behavior Technician (Licence: FL RBT-17-31645) | |
Enumeration Date | 2017-02-07 |
Last Update Date | 2021-08-03 |