| NPI | 1609407261 |
|---|---|
| Former Name | MARISSA FARLOW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: WA 1-25-79137) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: WA AB61511498) |
| Enumeration Date | 2020-01-31 |
| Last Update Date | 2025-03-10 |