| NPI | 1689281552 |
|---|---|
| Former Name | KELLY MARIE GARNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TN 803) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: AL RBT-19-88485) |
| Enumeration Date | 2020-09-25 |
| Last Update Date | 2021-06-02 |