| NPI | 1730546771 |
|---|---|
| Former Name | HALEY PETHICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2016-01-21 |
| Last Update Date | 2020-04-16 |