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 |