NPI | 1508276114 |
---|---|
Former Name | CHRISTA JANAE DALTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: UT 9590521-2506) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 1-16-24199) |
Enumeration Date | 2014-05-05 |
Last Update Date | 2019-09-06 |