NPI | 1578140802 |
---|---|
Former Name | CHRISTY ROSS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AL 1-21-47401) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: AL 2012-012) |
106S00000X Behavior Technician | |
Enumeration Date | 2021-03-24 |
Last Update Date | 2023-04-08 |