NPI | 1386039543 |
---|---|
Former Name | KAREN MONDOK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-14-17843) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 1759) |
103K00000X Behavior Analyst (Licence: HI 679) | |
Enumeration Date | 2015-04-03 |
Last Update Date | 2023-09-20 |