NPI | 1629550173 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NE 1-22-63304) |
Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: 0-20-11252) |
106S00000X Behavior Technician (Licence: NE 18-70860) | |
106S00000X Behavior Technician | |
Enumeration Date | 2018-08-31 |
Last Update Date | 2023-01-04 |