| NPI | 1033672639 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: FL BCaBA-0-24-15409) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-19-80773) |
| Enumeration Date | 2019-04-10 |
| Last Update Date | 2025-02-17 |