| NPI | 1720775141 |
|---|---|
| Former Name | JEANETTE FLINCHUM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AL 2024-162) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: AL RBT-23-268874) |
| Enumeration Date | 2023-04-18 |
| Last Update Date | 2025-10-11 |