NPI | 1871088179 |
---|---|
Former Name | BETH MONTICK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: WI 262-140) |
Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: WI 0-16-7017) |
Enumeration Date | 2018-06-28 |
Last Update Date | 2024-08-13 |