NPI | 1861828311 |
---|---|
Former Name | KERI ANN KAVANAUGH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-16-16355) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT-16-16355) |
106S00000X Behavior Technician (Licence: FL 16-16355) | |
222Q00000X Developmental Therapist | |
Enumeration Date | 2013-09-16 |
Last Update Date | 2019-10-27 |