| NPI | 1235890294 |
|---|---|
| Former Name | MIKAYLA LAMBETH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NE 1-22-61267) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2022-01-03 |
| Last Update Date | 2023-03-02 |