| NPI | 1063909307 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: UT 11997268-2506) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 106S00000X Behavior Technician | |
| 106S00000X Behavior Technician (Licence: UT RBT-18-52417) | |
| 106E00000X Assistant Behavior Analyst (Licence: UT 11997268-2507) | |
| Enumeration Date | 2018-04-20 |
| Last Update Date | 2024-02-14 |