| NPI | 1063083871 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: HI RBT-21-160655) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: BACB663351) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2021-07-03 |
| Last Update Date | 2023-10-02 |