| NPI | 1710595293 |
|---|---|
| Former Name | ALYSSA JENNIFER BAUER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: PA 1-25-79269) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: PA BH004922) |
| Enumeration Date | 2020-07-21 |
| Last Update Date | 2025-02-20 |