NPI | 1982241246 |
---|---|
Former Name | KAYLEE GREENBAUM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: OK 1-21-53043) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2019-12-05 |
Last Update Date | 2022-09-26 |