| NPI | 1699524587 |
|---|---|
| Former Name | KAYLA BRISSETTE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2024-05-14 |
| Last Update Date | 2024-05-14 |