| NPI | 1932617875 |
|---|---|
| Former Name | MARY ALEXANDRA BOHANNAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AR 1-22-60280) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2018-01-12 |
| Last Update Date | 2022-07-08 |