| NPI | 1134621303 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: 0199838) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2018-03-05 |
| Last Update Date | 2022-08-25 |