| NPI | 1639838709 |
|---|---|
| Former Name | MICHELE VANRYSDAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-25-80867) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-21-195646) |
| Enumeration Date | 2021-12-15 |
| Last Update Date | 2025-05-02 |