NPI | 1497323158 |
---|---|
Former Name | ERIN STATHOKOSTAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NC 1-23-64080) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: NC 11013) |
Enumeration Date | 2021-06-17 |
Last Update Date | 2023-02-23 |