NPI | 1811539281 |
---|---|
Former Name | MADISON RAGAN HOOVER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-24-73418) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2019-10-17 |
Last Update Date | 2024-06-12 |