NPI | 1962718262 |
---|---|
Former Name | LINDSAY BETH VICK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1633) |
Additional Taxonomies | 103K00000X Behavior Analyst |
Enumeration Date | 2010-08-24 |
Last Update Date | 2020-03-30 |