| NPI | 1093303695 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: WA AB61595497) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2021-01-08 |
| Last Update Date | 2024-09-09 |