NPI | 1386289544 |
---|---|
Former Name | ALISHA PEARL KIZZIAR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TN 1759) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MA 2831-MH-B1) |
Enumeration Date | 2019-11-12 |
Last Update Date | 2025-02-03 |