NPI | 1003478173 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CO 1-25-82504) |
Additional Taxonomies | 103K00000X Behavior Analyst |
106S00000X Behavior Technician (Licence: IN RBT-17-30491) | |
Enumeration Date | 2019-06-28 |
Last Update Date | 2025-07-09 |