NPI | 1780122358 |
---|---|
Former Name | MELISSA ANNE ROSS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-20-44956) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2017-02-03 |
Last Update Date | 2020-11-18 |