NPI | 1124668157 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: UT 12865143-2506) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2020-01-07 |
Last Update Date | 2025-04-30 |