| NPI | 1033473046 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 103k00000x) |
| 103K00000X Behavior Analyst (Licence: 10) | |
| Enumeration Date | 2012-06-25 |
| Last Update Date | 2012-06-25 |