NPI | 1588182216 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: OK 1-23-64514) |
Additional Taxonomies | 106S00000X Behavior Technician |
106S00000X Behavior Technician (Licence: OK RBT-20-141204) | |
Enumeration Date | 2017-09-01 |
Last Update Date | 2023-04-26 |