NPI | 1447839089 |
---|---|
Other Name | MADELYN NADINE NELSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IL 1-23-67437) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: 20-140248) |
Enumeration Date | 2021-04-02 |
Last Update Date | 2023-08-08 |