| 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 |