NPI | 1659041622 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-23-69721) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-21-184618) |
106E00000X Assistant Behavior Analyst (Licence: FL 0-23-14478) | |
Enumeration Date | 2021-09-20 |
Last Update Date | 2023-11-30 |