NPI | 1508400854 |
---|---|
Former Name | MEAGAN LYNNE FRIEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: PA 1-17-26327) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: PA BH004417) |
Enumeration Date | 2019-10-30 |
Last Update Date | 2019-10-30 |