NPI | 1457804312 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-20-43112) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL RBT 1504320) |
106E00000X Assistant Behavior Analyst (Licence: FL BCABA0-17-8142) | |
Enumeration Date | 2016-07-27 |
Last Update Date | 2020-07-06 |