NPI | 1538719695 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-21-57153) |
Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL 0-19-10411) |
106S00000X Behavior Technician (Licence: RBT-19-99436) | |
Enumeration Date | 2019-09-19 |
Last Update Date | 2022-03-08 |