NPI | 1336748078 |
---|---|
Former Name | TAYLOR BASTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: KY 296517) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-24-77468) |
Enumeration Date | 2020-10-23 |
Last Update Date | 2024-12-19 |