| NPI | 1073006532 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MD BACB472337) |
| Enumeration Date | 2018-06-10 |
| Last Update Date | 2025-03-17 |