| NPI | 1811585979 |
|---|---|
| Former Name | JESSICA MCAVOY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IN 1-22-61969) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: IN RBT-20-116387) |
| Enumeration Date | 2021-01-05 |
| Last Update Date | 2022-10-26 |