NPI | 1255848412 |
---|---|
Former Name | SHANELLE D WHETSTONE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MD 1-18-31143) |
Additional Taxonomies | 106E00000X Assistant Behavior Analyst |
Enumeration Date | 2018-01-09 |
Last Update Date | 2024-01-26 |