| NPI | 1043978315 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IN 1-23-68918) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: IN RBT-20-131355) |
| Enumeration Date | 2021-12-03 |
| Last Update Date | 2023-10-26 |