NPI | 1669988689 |
---|---|
Former Name | KACEY M BLOOMFIELD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: KY 289548) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2017-12-28 |
Last Update Date | 2024-08-20 |