NPI | 1295233781 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-23-69960) |
Additional Taxonomies | 106S00000X Behavior Technician |
106S00000X Behavior Technician (Licence: FL RBT-18-47427) | |
Enumeration Date | 2018-01-30 |
Last Update Date | 2023-12-20 |