| NPI | 1245845320 |
|---|---|
| Former Name | MAREN ALEXANDRA JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: WI 528140) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2020-09-15 |
| Last Update Date | 2022-04-05 |