NPI | 1326556275 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL BCBA1-20-44524) |
Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL BCaBA0199531) |
106S00000X Behavior Technician (Licence: FL RBT1865357) | |
Enumeration Date | 2018-01-12 |
Last Update Date | 2020-10-12 |