| NPI | 1821563362 | 
|---|---|
| Former Name | SANDRA PUELLO | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 12477529) | 
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL 0199798) | 
| Enumeration Date | 2018-10-11 | 
| Last Update Date | 2024-11-27 |