NPI | 1982301677 |
---|---|
Former Name | KANDACE-MA'AT BOOKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: VA 0134000479) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: VA 0134000479) |
Enumeration Date | 2023-02-13 |
Last Update Date | 2025-01-02 |