NPI | 1730536913 |
---|---|
Former Name | KRYSTLE LEANN HURST |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: OR ABA-B-10176354) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MO 2016003802) |
Enumeration Date | 2016-05-18 |
Last Update Date | 2022-03-07 |