NPI | 1831595321 |
---|---|
Former Name | AUBREY MIRANDA GONZALEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: SC 1-22-58373) |
Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: SC 0-14-6059) |
Enumeration Date | 2014-11-10 |
Last Update Date | 2022-03-18 |