| 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 |