NPI | 1376173013 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CO 1-19-40463) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: VA 0133003605) |
103K00000X Behavior Analyst (Licence: MD LBA1848) | |
103K00000X Behavior Analyst (Licence: TX 3233) | |
Enumeration Date | 2020-01-22 |
Last Update Date | 2025-09-23 |