| NPI | 1477274314 |
|---|---|
| Former Name | MADELYN VOLLMER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NE 1-24-76737) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2022-09-08 |
| Last Update Date | 2024-11-01 |