| NPI | 1801237961 |
|---|---|
| Former Name | MADISON BRIANNE STANEK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-16-24426) |
| Additional Taxonomies | 247200000X Technician, Other |
| Enumeration Date | 2013-07-17 |
| Last Update Date | 2021-12-22 |