| NPI | 1235806902 |
|---|---|
| Former Name | STEPHANIE ELLEN FODOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MN LBA0528) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2021-08-30 |
| Last Update Date | 2025-02-14 |