| NPI | 1629747407 |
|---|---|
| Former Name | ABIGAIL DOUGLASS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-24-76832) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: AZ RBT-21-182958) |
| Enumeration Date | 2021-09-07 |
| Last Update Date | 2024-10-23 |