NPI | 1972213528 |
---|---|
Former Name | REBECCA BOYLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: TX RBT-22-246433) |
106S00000X Behavior Technician (Licence: OK RBT-22-246433) | |
Enumeration Date | 2022-12-05 |
Last Update Date | 2025-06-12 |