NPI | 1346790045 |
---|---|
Former Name | KESHAUNA HAWKINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst |
Additional Taxonomies | 247200000X Technician, Other |
Enumeration Date | 2016-10-06 |
Last Update Date | 2020-03-03 |