NPI | 1770091548 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: VA 0133002234) |
Additional Taxonomies | 103K00000X Behavior Analyst |
106S00000X Behavior Technician (Licence: VA rbt-17-39444) | |
Enumeration Date | 2018-01-16 |
Last Update Date | 2024-07-17 |