NPI | 1922654466 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-21-53849) |
Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL 0-19-10179) |
106S00000X Behavior Technician (Licence: FL 18-58027) | |
Enumeration Date | 2019-08-12 |
Last Update Date | 2022-07-28 |