NPI | 1275102139 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-23-66160) |
Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL 0-22-13790) |
106S00000X Behavior Technician (Licence: FL RBT-21-167023) | |
Enumeration Date | 2021-06-23 |
Last Update Date | 2023-06-26 |