NPI | 1548679574 |
---|---|
Former Name | JULYSE AIDA MIGAN-GANDONOU |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1-14-10282) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL BCBA1-14-10282) |
103K00000X Behavior Analyst (Licence: TX LBA-2740) | |
Enumeration Date | 2014-08-04 |
Last Update Date | 2019-10-24 |