NPI | 1639667207 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: FL 0-21-12753) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 0-21-12753) |
106S00000X Behavior Technician (Licence: FL RBT-18-53247) | |
Enumeration Date | 2018-04-28 |
Last Update Date | 2021-09-26 |