| NPI | 1467803775 |
|---|---|
| Former Name | MICHELLE SUSAN CABRERA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: LA 1-22-58801) |
| 106S00000X Behavior Technician (Licence: LA RBT-17-34526) | |
| 222Q00000X Developmental Therapist | |
| Enumeration Date | 2016-06-28 |
| Last Update Date | 2022-05-10 |