| NPI | 1891367975 |
|---|---|
| Former Name | TAYLOR LYNN BULDRA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-23-67243) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: IL RBT-21-152383) |
| Enumeration Date | 2021-07-16 |
| Last Update Date | 2023-08-25 |