NPI | 1720613029 |
---|---|
Former Name | LAURA ALEJANDRA GOMEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-22-62037) |
Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL 0-21-13291) |
106S00000X Behavior Technician (Licence: FL RBT-20-113035) | |
Enumeration Date | 2020-03-06 |
Last Update Date | 2022-10-17 |