| 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 |