NPI | 1730698432 |
---|---|
Former Name | KAITLYN LEE STAFFIERI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1-17-27410) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 1142) |
Enumeration Date | 2017-09-25 |
Last Update Date | 2023-01-11 |