| NPI | 1063030039 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: FL 0-24-15457) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-20-110321) |
| Enumeration Date | 2020-07-07 |
| Last Update Date | 2024-08-26 |