| NPI | 1558893032 |
|---|---|
| Former Name | BREANNA CALHOUN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-21-46925) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2023-01-28 |