| NPI | 1609405976 |
|---|---|
| Former Name | TIA MARIE ALLISON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CO 1-23-70020) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: OH 474455) |
| Enumeration Date | 2020-04-07 |
| Last Update Date | 2024-01-28 |