NPI | 1669785028 |
---|---|
Former Name | RACHEL DANIELLE RIDDLEBERGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-10-7191) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 1-14-16520) |
Enumeration Date | 2010-07-14 |
Last Update Date | 2017-10-25 |