NPI | 1235746769 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-23-69668) |
Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL 0-21-13388) |
106S00000X Behavior Technician (Licence: FL RBT-20-118627) | |
Enumeration Date | 2020-09-29 |
Last Update Date | 2023-12-31 |