| NPI | 1104264696 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NV CABIT042513) |
| Enumeration Date | 2013-06-06 |
| Last Update Date | 2025-03-28 |