NPI | 1386245801 |
---|---|
Former Name | MCKENZIE FELLINGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1-23-64487) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: AR RBT-20-142666) |
Enumeration Date | 2020-11-02 |
Last Update Date | 2025-05-22 |