NPI | 1285977363 |
---|---|
Former Name | JESSICA BUSHMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-16-23988) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: WA BCABA: 0-13-5300) |
Enumeration Date | 2013-03-27 |
Last Update Date | 2024-07-12 |