| NPI | 1821593534 |
|---|---|
| Former Name | DAWN ANNE CARLISE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CO 1-18-30000) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: AZ 1-18-30000) |
| 103K00000X Behavior Analyst (Licence: AZ BEH-000917) | |
| 103K00000X Behavior Analyst (Licence: CA 1-18-30000) | |
| Enumeration Date | 2018-03-26 |
| Last Update Date | 2024-05-24 |