NPI | 1922349067 |
---|---|
Former Name | BRITTANY CLARK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CO 1-16-23749) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 0-13-5357) |
Enumeration Date | 2013-03-14 |
Last Update Date | 2017-04-28 |