NPI | 1316517766 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-24-72260) |
Additional Taxonomies | 103K00000X Behavior Analyst |
106S00000X Behavior Technician (Licence: FL RBT-21-183221) | |
Enumeration Date | 2021-06-28 |
Last Update Date | 2024-06-20 |