| NPI | 1760919138 |
|---|---|
| Former Name | CATHERINE ANN FARGO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA 1855) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MA 1855-MH-B1) |
| Enumeration Date | 2017-05-17 |
| Last Update Date | 2022-12-14 |