NPI | 1043820855 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: UT 10382472-2506) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2020-08-06 |
Last Update Date | 2023-11-14 |