NPI | 1679061626 |
---|---|
Former Name | MERCEDES S. LAWRENCE MARSH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 12471217) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: GA RBT-18-54246) |
Enumeration Date | 2018-04-25 |
Last Update Date | 2024-03-11 |