| NPI | 1952077950 |
|---|---|
| Former Name | REBECCA ANNE FORTNEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: NONE) |
| Enumeration Date | 2021-08-19 |
| Last Update Date | 2021-08-19 |