NPI | 1336617380 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-21-53746) |
Additional Taxonomies | 106E00000X Assistant Behavior Analyst |
106S00000X Behavior Technician | |
Enumeration Date | 2018-11-07 |
Last Update Date | 2021-11-04 |