NPI | 1619417029 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-24-71972) |
Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL 0-23-14418) |
106S00000X Behavior Technician (Licence: FL RBT-18-69094) | |
Enumeration Date | 2017-03-03 |
Last Update Date | 2024-03-27 |