| NPI | 1790124469 |
|---|---|
| Former Name | JOLENE KNEEBONE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-19-38492) |
| Additional Taxonomies | 174400000X Specialist |
| 103K00000X Behavior Analyst (Licence: ND L61) | |
| Enumeration Date | 2013-06-17 |
| Last Update Date | 2022-06-30 |