NPI | 1104341627 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-20-118179) |
Additional Taxonomies | 103K00000X Behavior Analyst |
Enumeration Date | 2017-08-04 |
Last Update Date | 2022-09-29 |