| NPI | 1023468451 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CO 1-21-57324) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL BCaBA0189179) |
| Enumeration Date | 2016-06-16 |
| Last Update Date | 2022-02-26 |