| NPI | 1972146454 |
|---|---|
| Former Name | MICHELLE KIMBERLY BOZARTH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2019-10-28 |
| Last Update Date | 2019-10-28 |