| NPI | 1518556133 |
|---|---|
| Former Name | SHAMARLA TEAKE PARKS-BULLARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-25-79741) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL 0-24-15117) |
| Enumeration Date | 2021-01-18 |
| Last Update Date | 2025-03-05 |