NPI | 1942786520 |
---|---|
Former Name | JESSI CORRICK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NE 1-18-32680) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NE BCBA-1-18-32680) |
Enumeration Date | 2018-07-17 |
Last Update Date | 2023-03-23 |