NPI | 1427629468 |
---|---|
Former Name | MALLORY LEDOUX |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: OK 1-25-79844) |
Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: 0-23-14494) |
106S00000X Behavior Technician (Licence: TX RBT-21-173969) | |
Enumeration Date | 2021-07-09 |
Last Update Date | 2025-08-28 |