| NPI | 1992268098 |
|---|---|
| Former Name | JENNA MARIE NELSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: KY 273594) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-21-53278) |
| 106S00000X Behavior Technician (Licence: RBT-18-60331) | |
| Enumeration Date | 2019-04-08 |
| Last Update Date | 2021-09-24 |