NPI | 1639738339 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-24-76471) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-19-76085) |
Enumeration Date | 2019-06-07 |
Last Update Date | 2024-12-13 |