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 |