NPI | 1700388899 |
---|---|
Former Name | ALEXIS HEMINGWAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 1-17-28294) |
Enumeration Date | 2018-03-05 |
Last Update Date | 2023-03-20 |