NPI | 1265910764 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NE 1-23-68741) |
Additional Taxonomies | 106S00000X Behavior Technician |
106S00000X Behavior Technician (Licence: NE 18-60519) | |
Enumeration Date | 2018-08-06 |
Last Update Date | 2023-10-09 |