NPI | 1265091920 |
---|---|
Former Name | KARIS FAZIO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NJ 1-18-32063) |
Enumeration Date | 2019-06-06 |
Last Update Date | 2021-07-09 |