| NPI | 1093191157 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: CA 140121627) |
| 106E00000X Assistant Behavior Analyst | |
| Enumeration Date | 2015-07-30 |
| Last Update Date | 2024-05-09 |