| NPI | 1093222309 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA RBT-16-12818) |
| Enumeration Date | 2018-01-08 |
| Last Update Date | 2021-03-23 |