| NPI | 1093244782 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: HI BA-433) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: HI 1-20-42966) |
| Enumeration Date | 2017-06-07 |
| Last Update Date | 2024-10-02 |