NPI | 1568078004 |
---|---|
Former Name | SAMANTHA LOWERY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: MI 7402000149) |
Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: MI 0-22-13745) |
106S00000X Behavior Technician | |
Enumeration Date | 2020-09-21 |
Last Update Date | 2024-11-13 |