| NPI | 1093021941 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CT 299) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-10-7036) |
| 103K00000X Behavior Analyst (Licence: NY 000162) | |
| Enumeration Date | 2010-08-28 |
| Last Update Date | 2022-10-10 |