NPI | 1427564426 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NY 1-21-55508) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NY 12155508) |
106S00000X Behavior Technician (Licence: NY RBT-17-44878) | |
Enumeration Date | 2017-12-28 |
Last Update Date | 2022-01-23 |