NPI | 1407455413 |
---|---|
Former Name | KRISTA M BONDURANT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: SC 1-22-59791) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2020-10-21 |
Last Update Date | 2022-06-17 |