NPI | 1629568290 |
---|---|
Former Name | ERIN ELIZABETH BORRELLI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: VA 0133003769) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: VA 1-24-73249) |
Enumeration Date | 2018-05-18 |
Last Update Date | 2024-10-03 |