NPI | 1861943581 |
---|---|
Former Name | SARA ANN OGLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-19-35758) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 3035) |
106S00000X Behavior Technician (Licence: UT 16-19028) | |
Enumeration Date | 2016-10-18 |
Last Update Date | 2022-08-03 |