NPI | 1609389667 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-21-50181) |
Additional Taxonomies | 106S00000X Behavior Technician |
106E00000X Assistant Behavior Analyst (Licence: FL 0-19-10347) | |
Enumeration Date | 2017-11-13 |
Last Update Date | 2021-07-07 |