NPI | 1538608005 |
---|---|
Former Name | EMILY NICOLE PHILLIPPI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MD LBA298) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: VA 0133000872) |
Enumeration Date | 2017-02-16 |
Last Update Date | 2022-04-12 |