NPI | 1326239138 |
---|---|
Former Name | AMANDA SHIPPS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NC 1-15-20689) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CO 1-15-20689) |
Enumeration Date | 2007-08-06 |
Last Update Date | 2025-04-17 |