NPI | 1457817181 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: 0-29-11422) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL 19-78692) |
106S00000X Behavior Technician (Licence: FL RBT-19-78652) | |
Enumeration Date | 2019-02-19 |
Last Update Date | 2020-11-24 |