| NPI | 1811428956 |
|---|---|
| Former Name | EMILY VIDT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: PA BH003486) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: VA 0133000814) |
| 103K00000X Behavior Analyst (Licence: PA 1-16-22597) | |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2022-10-03 |