NPI | 1649708074 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-17-40159) |
Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL 02192017WC29) |
106S00000X Behavior Technician (Licence: FL 02192017WC29) | |
Enumeration Date | 2017-05-30 |
Last Update Date | 2022-07-21 |