| NPI | 1356726731 |
|---|---|
| Former Name | TISHA CAMPBELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AZ BEH-000189) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2015-07-27 |
| Last Update Date | 2024-07-11 |