NPI | 1093356347 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: FL 0-21-12375) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-19-86456) |
Enumeration Date | 2019-10-07 |
Last Update Date | 2021-08-20 |