| NPI | 1437621208 |
|---|---|
| Former Name | JESSICA EKBERG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2018-12-18 |
| Last Update Date | 2022-05-24 |