| NPI | 1033062583 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: IN RBT-24-389609) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: KY RBT-24-389609) |
| Enumeration Date | 2026-02-16 |
| Last Update Date | 2026-02-16 |