NPI | 1346772183 |
---|---|
Former Name | AMANDA CLINE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-22-59316) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2017-03-30 |
Last Update Date | 2023-10-31 |