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 |