| NPI | 1992219125 |
|---|---|
| Former Name | ANDREA MEGAN MALONEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 175T00000X Peer Specialist |
| Enumeration Date | 2017-11-27 |
| Last Update Date | 2017-11-27 |