| NPI | 1962908269 |
|---|---|
| Former Name | HALEY ANDERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: SC 8903) |
| 106S00000X Behavior Technician (Licence: TX RBT-17-37249) | |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2023-02-27 |