NPI | 1417577172 |
---|---|
Former Name | JOELLE COLELLA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CO 1-23-65238) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: CO RBT-20-116034) |
Enumeration Date | 2020-04-23 |
Last Update Date | 2023-04-26 |