NPI | 1801385711 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-19-36151) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NC 1-19-36151) |
106S00000X Behavior Technician (Licence: NC RBT-16-27403) | |
Enumeration Date | 2018-05-07 |
Last Update Date | 2022-12-15 |