NPI | 1851865562 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-20-42256) |
Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL 0-19-10449) |
106S00000X Behavior Technician (Licence: FL RBT-18-71022) | |
Enumeration Date | 2019-01-15 |
Last Update Date | 2021-06-30 |