NPI | 1639797053 |
---|---|
Former Name | TAYLOR JO LEMON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-22-59720) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2020-07-13 |
Last Update Date | 2022-08-16 |