| NPI | 1265734230 |
|---|---|
| Former Name | KRISTEN AMANDA SPENCER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-06-2877) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2010-11-24 |
| Last Update Date | 2025-01-21 |