NPI | 1962069740 |
---|---|
Former Name | SHAYLA MARKESON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AZ BEH-000800) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2019-05-28 |
Last Update Date | 2021-09-14 |