| NPI | 1700444692 |
|---|---|
| Former Name | TAYLOR JEWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: KY 1-24-71464) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: KY RBT-19-88512) |
| Enumeration Date | 2019-06-05 |
| Last Update Date | 2024-05-30 |