NPI | 1699510180 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-25-83944) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: RI RBT-22-211405) |
Enumeration Date | 2024-06-27 |
Last Update Date | 2025-09-08 |