| NPI | 1699397653 |
|---|---|
| Other Name | MISTY MATHIASEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2020-05-13 |
| Last Update Date | 2020-06-05 |