NPI | 1659724888 |
---|---|
Former Name | KIMBERLY N FOSTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CO 1-18-29581) |
Additional Taxonomies | 247200000X Technician, Other |
Enumeration Date | 2016-07-22 |
Last Update Date | 2019-02-12 |