NPI | 1780222323 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: 0-21-13294) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 0-21-13294) |
106S00000X Behavior Technician (Licence: FL RBT-19-108340) | |
Enumeration Date | 2019-12-13 |
Last Update Date | 2022-01-14 |