| NPI | 1467978551 |
|---|---|
| Former Name | TERESA RADTKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: ND 43P) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2017-08-21 |
| Last Update Date | 2020-12-30 |