| NPI | 1265999528 |
|---|---|
| Former Name | FELICITY KALYNNE BURLESON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-20-45849) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2019-02-22 |
| Last Update Date | 2020-11-09 |