NPI | 1134441496 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AZ BA-50) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: AZ 1-09-5601) |
1041C0700X Social Worker, Clinical (Licence: AZ LCSW-2701) | |
Enumeration Date | 2010-02-26 |
Last Update Date | 2012-02-23 |