NPI | 1861986671 |
---|---|
Former Name | BONNIE JO KEYS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CO 1-1938532) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: TX RBT-17-37196) |
Enumeration Date | 2018-06-15 |
Last Update Date | 2024-07-08 |