NPI | 1659997088 |
---|---|
Former Name | COURTNEY RENAE ELYSE DAWSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: GA 0-23-14574) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: GA RBT-19-97737) |
Enumeration Date | 2020-06-22 |
Last Update Date | 2023-07-18 |