NPI | 1609475698 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: FL 0-22-13722) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-20-131938) |
Enumeration Date | 2020-10-20 |
Last Update Date | 2023-11-07 |