| NPI | 1891380671 |
|---|---|
| Former Name | BIANCA ROSA COLEMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: KY 252305) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: IN 1-19-36333) |
| Enumeration Date | 2021-03-04 |
| Last Update Date | 2022-07-29 |