| NPI | 1013744309 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: OH RBT-21-163766) |
| Enumeration Date | 2024-09-19 |
| Last Update Date | 2025-03-03 |