NPI | 1467028704 |
---|---|
Other Name | BREANNA GRADY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AR 1-22-62026) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2021-05-27 |
Last Update Date | 2024-05-17 |