| NPI | 1235552704 |
|---|---|
| Former Name | KAYLA LEE GLENN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MO 2015015158) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MO 2014003096) |
| Enumeration Date | 2014-02-03 |
| Last Update Date | 2015-05-26 |