NPI | 1033819073 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: FL 0-24-5239) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-23-259660) |
Enumeration Date | 2023-03-08 |
Last Update Date | 2024-05-22 |