| NPI | 1801437801 |
|---|---|
| Former Name | ANNA GRACE TEAGUE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AL 1-21-51645) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 106S00000X Behavior Technician (Licence: AL RBT-20-143300) | |
| Enumeration Date | 2019-10-01 |
| Last Update Date | 2021-08-20 |