| NPI | 1407509235 |
|---|---|
| Former Name | NICOLE TYNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2022-02-01 |
| Last Update Date | 2025-05-22 |