NPI | 1760843643 |
---|---|
Former Name | FELICIA DAWN MCCLEERY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: UT 9623623-2506) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT-16-20218) |
Enumeration Date | 2016-03-18 |
Last Update Date | 2020-01-07 |