NPI | 1609356278 |
---|---|
Former Name | KAYLA COMERFORD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IL 1-18-32573) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2018-08-14 |
Last Update Date | 2024-10-31 |