| NPI | 1639848922 |
|---|---|
| Former Name | CAROLYNE STACIE RECINOS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2021-09-09 |
| Last Update Date | 2024-07-18 |