NPI | 1477901767 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: BCBA-1-21-54664) |
Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL BCaBA-0-19-10577) |
106S00000X Behavior Technician (Licence: FL RBT-15-01974) | |
Enumeration Date | 2016-05-27 |
Last Update Date | 2024-04-04 |