| NPI | 1548706955 |
|---|---|
| Former Name | CAITLIN PAIGE BALLARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: UT 11000974-2506) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2017-01-09 |
| Last Update Date | 2018-09-27 |