| NPI | 1033976436 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NV 1-26-2827295) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: NV 0-26-17014) |
| 106S00000X Behavior Technician (Licence: NV RBT-24-330816) | |
| Enumeration Date | 2024-03-01 |
| Last Update Date | 2026-07-30 |