NPI | 1477028124 |
---|---|
Former Name | MEAGAN IRELAND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-19-37103) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA 1-19-37103) |
Enumeration Date | 2018-10-09 |
Last Update Date | 2020-02-04 |