NPI | 1316593999 |
---|---|
Former Name | AMOA TAMARA CHILDS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AZ BEH-000685) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: WI 308-140) |
Enumeration Date | 2019-08-10 |
Last Update Date | 2022-10-17 |