| NPI | 1518479591 |
|---|---|
| Former Name | JESSICA DAWN BROOKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1-21-55190) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2017-10-30 |
| Last Update Date | 2023-02-20 |