| NPI | 1528583903 |
|---|---|
| Former Name | CARMEN M WIXSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NC 1-19-36958) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2017-08-07 |
| Last Update Date | 2023-02-28 |