NPI | 1245897040 |
---|---|
Former Name | MORGAN RYANNE HAZLETT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: KY 248349) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: OH COBA.00511) |
Enumeration Date | 2019-05-28 |
Last Update Date | 2019-07-23 |