| NPI | 1669089686 |
|---|---|
| Former Name | AUDRA LYNN HIMEBAUGH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: OH 1-24-75001) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: OH RBT-20-134974) |
| Enumeration Date | 2020-09-24 |
| Last Update Date | 2024-08-16 |