| NPI | 1275045767 |
|---|---|
| Former Name | JESSIKA ANDERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2017-10-25 |
| Last Update Date | 2022-12-16 |