NPI | 1619493608 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-20-43130) |
Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL 0-18-9421) |
106S00000X Behavior Technician | |
Enumeration Date | 2017-08-21 |
Last Update Date | 2020-07-21 |