| NPI | 1306403852 |
|---|---|
| Former Name | TAYLOR POTRZEBOWSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-22-60334) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: IL RBT-19-105973) |
| Enumeration Date | 2019-05-21 |
| Last Update Date | 2022-08-04 |