NPI | 1588171029 |
---|---|
Former Name | BEGUM DAVILA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-21-48565) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NY 002952) |
Enumeration Date | 2018-01-05 |
Last Update Date | 2025-01-22 |