NPI | 1326551383 |
---|---|
Former Name | CAROLYN RAYLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-20-41960) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: PA 8664) |
Enumeration Date | 2017-11-13 |
Last Update Date | 2020-05-28 |