NPI | 1104439231 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MI 7401002669) |
Additional Taxonomies | 106S00000X Behavior Technician |
103K00000X Behavior Analyst | |
Enumeration Date | 2020-08-28 |
Last Update Date | 2025-06-05 |