NPI | 1487132759 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA 1-22-58981) |
Additional Taxonomies | 106S00000X Behavior Technician |
106S00000X Behavior Technician | |
Enumeration Date | 2018-07-30 |
Last Update Date | 2024-06-28 |