NPI | 1073172227 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-23-63832) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2019-06-11 |
Last Update Date | 2023-02-09 |