NPI | 1598274193 |
---|---|
Former Name | MELISSA RILEY ELROD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106S00000X Behavior Technician (Licence: AL RBT-17-28881) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: AL 17-28881) |
Enumeration Date | 2017-09-26 |
Last Update Date | 2017-09-26 |