| NPI | 1902341209 |
|---|---|
| Former Name | JALA SIMMONS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IL 1-20-45615) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2016-12-22 |
| Last Update Date | 2024-01-12 |