| NPI | 1699289199 |
|---|---|
| Former Name | SARAH MARIE COSTELLO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA 1-19-38049) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2017-11-21 |
| Last Update Date | 2022-03-08 |