| NPI | 1689138687 | 
|---|---|
| Former Name | KRISTIN BISHOP | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: SC 1-19-40352) | 
| Additional Taxonomies | 103K00000X Behavior Analyst | 
| 106S00000X Behavior Technician (Licence: RBT-16-18653) | |
| Enumeration Date | 2019-01-24 | 
| Last Update Date | 2024-02-02 |