NPI | 1316400682 |
---|---|
Former Name | ALEXIS DUNCAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MD 1-21-49705) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2019-04-12 |
Last Update Date | 2024-04-15 |