| NPI | 1619513496 |
|---|---|
| Former Name | ALICIA RENEE IDE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: 0-19-9516) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NC 0-19-9516) |
| Enumeration Date | 2019-11-27 |
| Last Update Date | 2021-02-10 |