| NPI | 1558974808 |
|---|---|
| Former Name | BROOKE ELIZABETH DURBIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IN 1-22-58891) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 106S00000X Behavior Technician (Licence: IN RBT-18-51076) | |
| Enumeration Date | 2020-08-26 |
| Last Update Date | 2023-11-01 |