NPI | 1598380594 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-24-73568) |
Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL 0-22-14117) |
106S00000X Behavior Technician (Licence: FL rbt-20-117455) | |
Enumeration Date | 2020-06-15 |
Last Update Date | 2024-08-21 |