NPI | 1528599362 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-23-70257) |
Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL 0-20-11389) |
106S00000X Behavior Technician (Licence: FL 18-53595) | |
Enumeration Date | 2017-03-23 |
Last Update Date | 2024-01-02 |