NPI | 1033621958 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MI 1-20-41361) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2017-11-01 |
Last Update Date | 2022-01-28 |