| NPI | 1649881939 |
|---|---|
| Former Name | JORDAN MICHELLE HENRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IN 1-20-44817) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: IN RBT-18-49338) |
| Enumeration Date | 2020-08-11 |
| Last Update Date | 2023-06-21 |