NPI | 1508129107 |
---|---|
Professional Name | CARRIE ERIN CONNELLY-REALI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TN 1013) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 1-04-2044) |
Enumeration Date | 2012-06-19 |
Last Update Date | 2022-07-28 |