NPI | 1720632466 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: FL 0-21-13046) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL 18-52864) |
Enumeration Date | 2019-07-31 |
Last Update Date | 2021-11-02 |