| NPI | 1275280042 |
|---|---|
| Former Name | JORDAN THOMSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: GA 14268) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: GA RBT-22-204268) |
| Enumeration Date | 2022-03-02 |
| Last Update Date | 2024-05-08 |