| NPI | 1740788090 |
|---|---|
| Former Name | TARA HENDERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA BCBA-1-21-54030) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: HI RBT-18-48583) |
| Enumeration Date | 2018-01-31 |
| Last Update Date | 2024-03-13 |