NPI | 1669091849 |
---|---|
Former Name | VICTORIA LYNN SHAFER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106S00000X Behavior Technician (Licence: UT RBT-20-113129) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: HI RBT-20-113129) |
Enumeration Date | 2020-04-08 |
Last Update Date | 2021-01-06 |