NPI | 1366961617 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CO 1-24-77533) |
Additional Taxonomies | 106S00000X Behavior Technician |
106S00000X Behavior Technician (Licence: FL RBT-20-145578) | |
Enumeration Date | 2017-09-18 |
Last Update Date | 2024-11-25 |