NPI | 1093385270 |
---|---|
Former Name | SETH A SHARPE |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-21-51007) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NC 493) |
103K00000X Behavior Analyst (Licence: VA 0133002563) | |
103K00000X Behavior Analyst (Licence: OH COBA.00994) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2021-06-29 |
Last Update Date | 2023-12-06 |