| NPI | 1629664115 |
|---|---|
| Former Name | JACQUELINE FLOYD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IN 1-23-65846) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: KY 286318) |
| 103K00000X Behavior Analyst (Licence: KY 1-23-65846) | |
| 106S00000X Behavior Technician (Licence: KY RBT-17-30043) | |
| Enumeration Date | 2020-12-18 |
| Last Update Date | 2024-01-12 |