| NPI | 1033781240 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: RBT-21-175744) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT-17-46990) |
| Enumeration Date | 2021-07-15 |
| Last Update Date | 2021-07-15 |