NPI | 1558863605 |
---|---|
Former Name | REBECCA M COLON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-19-34557) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: TN RBT-17-32693) |
Enumeration Date | 2018-03-05 |
Last Update Date | 2019-03-26 |