NPI | 1831609445 |
---|---|
Former Name | MARLEN GAMEZ DIAZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: CO 02113074) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2017-10-09 |
Last Update Date | 2021-11-08 |