| NPI | 1265794176 |
|---|---|
| Former Name | JOANN SCANLON FIESEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-05-2224) |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2012-06-15 |
| Last Update Date | 2012-06-15 |