NPI | 1255969663 |
---|---|
Former Name | STEPHANIE KIMMEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: DE 1-20-46327) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-20-46327) |
106S00000X Behavior Technician (Licence: CO RBT.17.41116) | |
Enumeration Date | 2020-03-31 |
Last Update Date | 2025-06-10 |