| NPI | 1902362767 |
|---|---|
| Former Name | MARIAH SHORT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-22-62014) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2019-02-18 |
| Last Update Date | 2022-10-19 |