NPI | 1760966154 |
---|---|
Former Name | BREANNA E CRABTREE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-23-65951) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2018-09-20 |
Last Update Date | 2023-06-02 |