NPI | 1518580075 |
---|---|
Former Name | BROOKLYN OLIVER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IN 1-23-66614) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2020-05-19 |
Last Update Date | 2023-07-05 |