NPI | 1376033407 |
---|---|
Former Name | SHELBY ELYSE PIERSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IN 1-18-31796) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT-17-28626) |
Enumeration Date | 2018-05-15 |
Last Update Date | 2023-09-25 |