| NPI | 1124489299 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: OR ABAIN10174815) |
| Enumeration Date | 2016-03-16 |
| Last Update Date | 2018-08-14 |