| NPI | 1114507126 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: IN RBT-19-76287) | 
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: IN 0-24-15288) | 
| Enumeration Date | 2021-04-13 | 
| Last Update Date | 2024-05-30 |