| NPI | 1881160679 |
|---|---|
| Former Name | JESSICA LEANN BAXTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: TN RBT-20-136149) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: TN RBT-18-67104) |
| Enumeration Date | 2018-10-18 |
| Last Update Date | 2020-09-20 |