| NPI | 1114506508 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: TX RBT-19-101922) |
| Enumeration Date | 2021-04-05 |
| Last Update Date | 2025-03-07 |