NPI | 1285170159 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-23-64351) |
Additional Taxonomies | 106S00000X Behavior Technician |
106S00000X Behavior Technician (Licence: FL RBT-18-55955) | |
Enumeration Date | 2017-01-16 |
Last Update Date | 2023-02-27 |