NPI | 1841538626 |
---|---|
Former Name | ASHLEY DOUGLAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA 842) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-15-19843) |
Enumeration Date | 2013-01-29 |
Last Update Date | 2019-04-25 |