NPI | 1336483056 |
---|---|
Former Name | BROOKE CAPILLA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA BCBA 1-12-11493) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 11211493) |
Enumeration Date | 2012-11-19 |
Last Update Date | 2021-08-10 |