NPI | 1922572536 |
---|---|
Former Name | AMBER WILSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MO BCBA1-20-45035) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: KS RBT-15-08410) |
Enumeration Date | 2019-01-16 |
Last Update Date | 2021-08-25 |