NPI | 1326518762 |
---|---|
Former Name | COURTNEY BENNETT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-21-48280) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2018-11-28 |
Last Update Date | 2024-07-09 |