| NPI | 1083380521 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: LA RBT-18-66183) |
| Enumeration Date | 2021-08-16 |
| Last Update Date | 2022-12-07 |