NPI | 1750865317 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-20-45847) |
Additional Taxonomies | 103K00000X Behavior Analyst |
106S00000X Behavior Technician (Licence: NJ RBT-18-65699) | |
Enumeration Date | 2018-09-19 |
Last Update Date | 2023-05-02 |