NPI | 1609481431 |
---|---|
Former Name | TIFFANY DOBRY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-25-79069) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: TX 20-134572) |
Enumeration Date | 2020-09-09 |
Last Update Date | 2025-02-04 |