NPI | 1982234589 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL BCBA-1-25-83870) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
106S00000X Behavior Technician (Licence: FL RBT-22-215660) | |
Enumeration Date | 2020-01-22 |
Last Update Date | 2025-09-03 |