| NPI | 1114418746 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL 0-1910652) |
| Enumeration Date | 2018-05-18 |
| Last Update Date | 2024-01-08 |