NPI | 1982160255 |
---|---|
Former Name | ELIZABETH NICOLE GREGORY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AZ BEH-000805) |
Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: CA 0-17-7873) |
103K00000X Behavior Analyst (Licence: CA 1-20-40611) | |
Enumeration Date | 2019-02-12 |
Last Update Date | 2022-07-13 |