| NPI | 1770056111 |
|---|---|
| Former Name | CASEY ELYSSA MANN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-18-33358) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NC 1685) |
| Enumeration Date | 2019-01-08 |
| Last Update Date | 2024-08-05 |