| NPI | 1760146682 |
|---|---|
| Former Name | CARLETTA DESIREE KIMMINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 6377) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2021-10-27 |
| Last Update Date | 2023-10-24 |