| NPI | 1003478173 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: IN RBT-17-30491) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2019-06-28 |
| Last Update Date | 2020-09-17 |