NPI | 1023524063 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106S00000X Behavior Technician (Licence: NV RBT-18-50488) |
Additional Taxonomies | 103K00000X Behavior Analyst |
Enumeration Date | 2017-12-27 |
Last Update Date | 2019-03-22 |