NPI | 1013413897 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: OR ABA-B-10234439) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 4467) |
106S00000X Behavior Technician | |
Enumeration Date | 2018-04-02 |
Last Update Date | 2025-06-17 |