NPI | 1275014557 |
---|---|
Former Name | ELAINNA MILLS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CO 1-22-58951) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: CO 18-62351) |
Enumeration Date | 2018-08-24 |
Last Update Date | 2024-10-04 |