NPI | 1760873608 |
---|---|
Former Name | HOPE ELIZABETH ELLIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: WA BA60770961) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MD 1-14-16277) |
103K00000X Behavior Analyst (Licence: 1-14-16277) | |
Enumeration Date | 2015-02-13 |
Last Update Date | 2019-05-01 |