| NPI | 1699256438 | 
|---|---|
| Former Name | KATELYN BAKER | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: WA 61141819) | 
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst | 
| Enumeration Date | 2018-08-28 | 
| Last Update Date | 2024-01-08 |