| NPI | 1952960528 |
|---|---|
| Former Name | MICHAELA MIRANDA ROSAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-23-65363) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: UT 12610) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2019-06-07 |
| Last Update Date | 2023-05-31 |