| NPI | 1013417716 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: LA L-555) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: LA C-079) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2018-02-19 |
| Last Update Date | 2024-01-09 |