NPI | 1255988945 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1-20-43668) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: NC RBT-15-05932) |
Enumeration Date | 2019-08-19 |
Last Update Date | 2023-04-11 |