| NPI | 1255838017 |
|---|---|
| Former Name | KELLIE MICHELLE HUDSPETH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2018-04-09 |
| Last Update Date | 2018-04-09 |