NPI | 1780232157 |
---|---|
Former Name | STEPHANIE NATALIE VEGO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-18-33114) |
Additional Taxonomies | 103K00000X Behavior Analyst |
106S00000X Behavior Technician (Licence: 11833114) | |
Enumeration Date | 2019-08-29 |
Last Update Date | 2024-10-28 |