| NPI | 1538808555 |
|---|---|
| Former Name | CASSIDY BROOKE SEYFERT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: PA BH005632) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-23-63474) |
| Enumeration Date | 2022-05-27 |
| Last Update Date | 2024-08-29 |