NPI | 1780259093 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MD 1-22-63087) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MD 1471) |
106S00000X Behavior Technician (Licence: MD RBT-19-105390) | |
Enumeration Date | 2021-05-20 |
Last Update Date | 2023-03-27 |