| NPI | 1780208512 |
|---|---|
| Former Name | CALLISSA CANDALOT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: UT 14224191-2506) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2020-06-08 |
| Last Update Date | 2025-05-20 |