NPI | 1811437999 |
---|---|
Former Name | JESSICA ANN MACDONALD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: LA L-192) |
Enumeration Date | 2017-03-08 |
Last Update Date | 2019-02-25 |