| NPI | 1922460724 |
|---|---|
| Former Name | SUSANNA CAROL RILEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1-16-24512) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 1832) |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2023-06-01 |