| NPI | 1336636877 |
|---|---|
| Former Name | ASHLEY LYNN COSTA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MI 0-20-11371) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: SC RBT-16-23902) |
| Enumeration Date | 2018-04-19 |
| Last Update Date | 2023-06-19 |