NPI | 1659802593 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-21-52463) |
Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL 0-19-10029) |
106S00000X Behavior Technician | |
Enumeration Date | 2017-03-22 |
Last Update Date | 2021-09-01 |