| NPI | 1245803030 |
|---|---|
| Former Name | CAITLYN BRACK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 7119) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2021-07-20 |
| Last Update Date | 2024-10-16 |