NPI | 1649804691 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-23-68418) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-20-113231) |
Enumeration Date | 2020-02-28 |
Last Update Date | 2023-10-03 |