NPI | 1255009775 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-25-84244) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-21-167493) |
Enumeration Date | 2021-08-31 |
Last Update Date | 2025-09-17 |