| NPI | 1396355459 |
|---|---|
| Former Name | AMANDA MICHELLE LACOUNT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AZ BEH-000975) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: AZ RBT-20-120709) |
| Enumeration Date | 2020-08-04 |
| Last Update Date | 2022-08-05 |