| NPI | 1801251400 | 
|---|---|
| Former Name | HEATHER DAWN BUCKLEY | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IN 1-14-9561) | 
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: KY 167323) | 
| Enumeration Date | 2015-12-23 | 
| Last Update Date | 2025-06-16 |