NPI | 1033611181 |
---|---|
Former Name | MICHAEL RYAN OLDFIELD |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: TN RBT-16-17545) |
Enumeration Date | 2018-03-05 |
Last Update Date | 2019-09-25 |