| NPI | 1538427398 |
|---|---|
| Former Name | KELLY MASON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-13-13310) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: AL 2017-145) |
| Enumeration Date | 2012-04-30 |
| Last Update Date | 2025-01-07 |