NPI | 1982262473 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL BCBA-1-24-74748) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-18-57578) |
Enumeration Date | 2019-05-30 |
Last Update Date | 2024-08-19 |