| NPI | 1114556131 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: SC 0-22-13787) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CO RBT-17-28570) |
| Enumeration Date | 2020-04-02 |
| Last Update Date | 2025-01-17 |