NPI | 1619581600 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL BCBA-1-24-75602) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-20-119033) |
Enumeration Date | 2020-09-07 |
Last Update Date | 2024-10-01 |