| NPI | 1720548548 |
|---|---|
| Former Name | TANIA ANN VUKUSIC |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CT 273) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NY 001260-1) |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2019-03-20 |