| NPI | 1245651058 |
|---|---|
| Former Name | JEANELLE JAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: UT 11703538-2506) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 1-13-14505) |
| 103K00000X Behavior Analyst (Licence: UT 11703583-2506) | |
| Enumeration Date | 2013-12-20 |
| Last Update Date | 2020-04-17 |