NPI | 1780297507 |
---|---|
Former Name | KAYLA NEAL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106S00000X Behavior Technician (Licence: AR RBT-23-293484) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2020-08-31 |
Last Update Date | 2023-09-14 |