| NPI | 1912678038 |
|---|---|
| Former Name | KATIE BURLINGAME |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TN LBA1688) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: TN RBT-21-182872) |
| Enumeration Date | 2021-09-28 |
| Last Update Date | 2024-11-11 |