NPI | 1528624731 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: FL 0-23-14865) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-19-83666) |
Enumeration Date | 2019-05-13 |
Last Update Date | 2025-01-21 |