| NPI | 1326531625 |
|---|---|
| Former Name | BREANNA JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 5608) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: TX 18-04855) |
| Enumeration Date | 2018-06-11 |
| Last Update Date | 2023-02-01 |