NPI | 1447743208 |
---|---|
Former Name | ABIGAIL DAPHENE FRAZIER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106S00000X Behavior Technician (Licence: TX RBT-16-12372) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 1-19-34648) |
Enumeration Date | 2018-06-07 |
Last Update Date | 2019-04-08 |