NPI | 1558753780 |
---|---|
Former Name | ALYSSA A STEVENS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MI 7401000778) |
Additional Taxonomies | 247200000X Technician, Other (Licence: MI S315064067985) |
Enumeration Date | 2015-02-25 |
Last Update Date | 2022-06-15 |