NPI | 1871135582 |
---|---|
Former Name | TIFFANY NANCY SHERRILL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-24-71595) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA RBT-19-101948) |
Enumeration Date | 2019-10-14 |
Last Update Date | 2024-03-25 |