NPI | 1598288607 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL BCBA-1-21-55727) |
Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL BCaBA-0-20-11170) |
Enumeration Date | 2017-07-20 |
Last Update Date | 2021-12-06 |