| NPI | 1275947889 |
|---|---|
| Former Name | FELICIA WEAVER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA 2974-MH-B) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2014-06-12 |
| Last Update Date | 2025-11-09 |