| NPI | 1720692239 |
|---|---|
| Former Name | ERIN ELISABETH CROCKETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-18-30341) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MA 1939-MH-B1) |
| Enumeration Date | 2020-09-02 |
| Last Update Date | 2025-08-13 |