NPI | 1447715495 |
---|---|
Former Name | JESSICA N EDDY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106S00000X Behavior Technician (Licence: TN RBT-19-107118) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2019-02-04 |
Last Update Date | 2020-01-29 |