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 |