NPI | 1457992737 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: FL 0-21-12542) |
Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: TX 6042) |
106S00000X Behavior Technician (Licence: FL RBT-19-101064) | |
Enumeration Date | 2019-10-08 |
Last Update Date | 2023-08-01 |