NPI | 1669036315 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: 0-21-11901) |
Additional Taxonomies | 106E00000X Assistant Behavior Analyst |
106S00000X Behavior Technician (Licence: FL RBT-19-84801) | |
Enumeration Date | 2019-04-29 |
Last Update Date | 2022-09-30 |