NPI | 1467855015 |
---|---|
Former Name | TRACY LYNN TUPPER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-12-12016) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NC 1795) |
103K00000X Behavior Analyst (Licence: OK 11212016) | |
103K00000X Behavior Analyst (Licence: TN 1301) | |
Enumeration Date | 2014-09-26 |
Last Update Date | 2024-11-16 |