| NPI | 1093524035 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: FL BCaBA0-26-2840802) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-25-402894) |
| Enumeration Date | 2025-01-04 |
| Last Update Date | 2026-08-17 |