NPI | 1861081689 |
---|---|
Former Name | JENNIFER JEANNE KOMENDA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-24-71426) |
Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL 0-23-14386) |
106S00000X Behavior Technician | |
Enumeration Date | 2021-01-15 |
Last Update Date | 2024-06-06 |