| 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 |