| NPI | 1073065314 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NV LBA0324) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: NV 0-17-7752) |
| 247200000X Technician, Other (Licence: NV RBT-15-07422) | |
| Enumeration Date | 2016-11-03 |
| Last Update Date | 2023-01-24 |