| NPI | 1487073292 |
|---|---|
| Former Name | JODI LYNN DIEKEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IL 1- 17- 25430) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: IL 0-14-5920) |
| Enumeration Date | 2014-04-08 |
| Last Update Date | 2017-04-04 |