NPI | 1972042802 |
---|---|
Former Name | MICHELLE PERRAULT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 12042232) |
Additional Taxonomies | 106S00000X Behavior Technician |
103K00000X Behavior Analyst | |
Enumeration Date | 2017-02-12 |
Last Update Date | 2021-06-14 |