NPI | 1790110088 |
---|---|
Former Name | MAGGIE EUCALITTO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL 11726634) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 11726634) |
Enumeration Date | 2013-09-05 |
Last Update Date | 2022-09-30 |