NPI | 1609218494 |
---|---|
Former Name | LAURA ANN CARBONARI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA 4094-mh-b1) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MA 4094) |
Enumeration Date | 2013-07-23 |
Last Update Date | 2024-03-25 |