| NPI | 1922686989 |
|---|---|
| Former Name | SHELBY FISCHER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MO 2023039078) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: MO RBT-21-160106) |
| Enumeration Date | 2021-03-31 |
| Last Update Date | 2023-09-27 |