NPI | 1568915692 |
---|---|
Former Name | JESSICA LEEANN PERKINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: IN 1-17-27052) |
Enumeration Date | 2016-07-25 |
Last Update Date | 2021-12-14 |