NPI | 1518474717 |
---|---|
Former Name | BAILEY ANNE PIETILA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-24-73049) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 0-19-10598) |
106S00000X Behavior Technician | |
Enumeration Date | 2018-01-09 |
Last Update Date | 2024-05-17 |