NPI | 1437342839 |
---|---|
Former Name | JAMIE ROSE FEDDOCK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-06-3182) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: PA BH006823) |
Enumeration Date | 2007-08-20 |
Last Update Date | 2025-02-05 |