| NPI | 1528217312 |
|---|---|
| Former Name | ELENA MARIE EVANS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: VA 0133001900) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MD LBA752) |
| Enumeration Date | 2008-09-16 |
| Last Update Date | 2021-03-29 |