NPI | 1710691183 |
---|---|
Former Name | SAMANTHA HUBBARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: 0-25-16266) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-23-253092) |
Enumeration Date | 2023-01-10 |
Last Update Date | 2025-07-21 |