NPI | 1710336490 |
---|---|
Former Name | ANGELA VANCE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MD LBA203) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: VA 0133000718) |
Enumeration Date | 2016-06-03 |
Last Update Date | 2019-02-27 |