NPI | 1609417559 |
---|---|
Former Name | KATHRYN RAE BRUMBAUGH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: KS 00549) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 3075) |
103K00000X Behavior Analyst (Licence: MO 2023013821) | |
Enumeration Date | 2019-10-02 |
Last Update Date | 2023-09-27 |