NPI | 1467121012 |
---|---|
Former Name | ABBY HUSTLAR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IN 1-24-76172) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: IN RBT-21-183998) |
Enumeration Date | 2021-09-08 |
Last Update Date | 2024-10-04 |