| NPI | 1598196156 |
|---|---|
| Former Name | JESSICA PODLASKOWICH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-13-13299) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2013-12-09 |
| Last Update Date | 2024-11-12 |