NPI | 1811307143 |
---|---|
Former Name | KALEY KONIKOW |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-21-53148) |
Additional Taxonomies | 106E00000X Assistant Behavior Analyst |
Enumeration Date | 2014-05-08 |
Last Update Date | 2024-09-17 |