NPI | 1649085556 |
---|---|
Former Name | DANIELLE C STEPHENS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106S00000X Behavior Technician (Licence: NC 106S00000X) |
Additional Taxonomies | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: NC 2080P0006X) |
Enumeration Date | 2025-02-08 |
Last Update Date | 2025-02-08 |