| NPI | 1538809348 |
|---|---|
| Former Name | MADISON BERGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2022-03-30 |
| Last Update Date | 2022-08-04 |