| NPI | 1679130082 |
|---|---|
| Former Name | JENNIFER BEACHAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NY 002095) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2019-05-21 |
| Last Update Date | 2021-06-22 |