| NPI | 1497255210 |
|---|---|
| Former Name | ANDREA LYN BALES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IN 1-21-49914) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2018-02-19 |
| Last Update Date | 2022-12-30 |