NPI | 1033739008 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 1-23-68623) |
106S00000X Behavior Technician | |
Enumeration Date | 2020-04-20 |
Last Update Date | 2023-10-03 |