| NPI | 1679062277 |
|---|---|
| Former Name | ALLISON ELIZA BROOKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-19-37201) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: IN RBT-17-35255) |
| Enumeration Date | 2018-05-09 |
| Last Update Date | 2023-03-01 |