NPI | 1376139980 |
---|---|
Former Name | KATELYN BIGGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106S00000X Behavior Technician (Licence: SC RBT-24-324543) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2020-12-17 |
Last Update Date | 2024-02-08 |