NPI | 1467962670 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-24-78384) |
Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL 0-21-11766) |
106S00000X Behavior Technician (Licence: FL 18-54232) | |
106S00000X Behavior Technician | |
Enumeration Date | 2017-10-03 |
Last Update Date | 2025-01-02 |