NPI | 1609431808 |
---|---|
Former Name | CRYSTAL GAIL TURNBOUGH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106S00000X Behavior Technician |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 1609431808) |
Enumeration Date | 2019-05-03 |
Last Update Date | 2019-05-08 |