| NPI | 1700425352 |
|---|---|
| Former Name | BRYANNA ALYSSA GABBERT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AZ BEH-000731) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-21-53126) |
| Enumeration Date | 2019-12-30 |
| Last Update Date | 2024-11-04 |