NPI | 1679139695 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL BCBA-12369529) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-18-66572) |
Enumeration Date | 2019-05-15 |
Last Update Date | 2023-11-17 |