NPI | 1699384511 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-22-62793) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-20-127991) |
Enumeration Date | 2020-07-27 |
Last Update Date | 2024-11-13 |