| NPI | 1033914122 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: IL RBT-25-4053308) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2025-02-13 |
| Last Update Date | 2025-02-18 |