NPI | 1518514504 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: FL 0-24-15567) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-19-95038) |
Enumeration Date | 2019-08-23 |
Last Update Date | 2024-10-28 |