| NPI | 1487997870 |
|---|---|
| Former Name | ELAINE MARGARITA MACIAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-17-27518) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2018-06-15 |