| NPI | 1841579075 |
|---|---|
| Former Name | JENNY ELLEN TUZIKOW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NY 000406) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NY 1-07-3960) |
| 103TC0700X Psychologist, Clinical (Licence: NY 018399) | |
| Enumeration Date | 2011-08-05 |
| Last Update Date | 2017-02-02 |