| 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 |