Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | 3927 | TX |
N | 106E00000X | Assistant Behavior Analyst | 2783 | TX |
N | 106S00000X | Behavior Technician |
NPI | 1134635154 |
---|---|
Provider Name | Kristina Hall |
First Address | Salt Lake City, UT 84102-2855 |
Second Address | Rockwall, TX 75032-0047 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/12/2017 |
Last Update Date | 24/02/2021 |