| NPI | 1043096571 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: NV RBT3698) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: NV RBT-23-293421) |
| Enumeration Date | 2023-08-31 |
| Last Update Date | 2023-08-31 |