| 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 | 2023-12-18 |