NPI | 1235779091 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-21-56385) |
Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL 0-20-11274) |
106S00000X Behavior Technician (Licence: FL RBT-19-89084) | |
Enumeration Date | 2020-01-09 |
Last Update Date | 2021-12-27 |