| NPI | 1912516238 |
|---|---|
| Former Name | SANDRA MARIE LONG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: NV LABA430) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: NV rbt1447) |
| Enumeration Date | 2020-07-23 |
| Last Update Date | 2023-12-12 |