| NPI | 1356802532 |
|---|---|
| Former Name | GLORIA BAEZA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-21-50974) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA BACB390283) |
| 106S00000X Behavior Technician (Licence: CA BACB390283) | |
| Enumeration Date | 2019-03-28 |
| Last Update Date | 2023-08-09 |