NPI | 1962160606 |
---|---|
Former Name | EBONE KAY BLUNT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106S00000X Behavior Technician |
Additional Taxonomies | 103K00000X Behavior Analyst |
Enumeration Date | 2021-11-30 |
Last Update Date | 2021-11-30 |