| NPI | 1972061760 |
|---|---|
| Former Name | MADELINE INGRAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: SC RBT-19-78865) |
| Enumeration Date | 2019-03-11 |
| Last Update Date | 2021-03-22 |