NPI | 1285231357 |
---|---|
Former Name | ANTIGONI JAYNE TONGRET BOWERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: IN 0-24-15279) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: IN RBT-19-83678) |
Enumeration Date | 2020-10-02 |
Last Update Date | 2024-07-11 |