| NPI | 1952885055 |
|---|---|
| Former Name | AUDREY ELIZABETH HENDRICKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 5517) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2018-09-24 |
| Last Update Date | 2022-12-14 |