| NPI | 1427612340 |
|---|---|
| Former Name | TRACI ANN BIRCHARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AZ 000454) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: VA 0133001371) |
| Enumeration Date | 2019-04-25 |
| Last Update Date | 2022-07-13 |