NPI | 1922668946 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL BCBA-21-47081) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT1989992) |
Enumeration Date | 2019-06-20 |
Last Update Date | 2021-03-24 |