| NPI | 1568938066 |
|---|---|
| Former Name | ADELE JACKSEEN POLIARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA 2415) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-18-31560) |
| Enumeration Date | 2018-10-23 |
| Last Update Date | 2025-08-29 |