| NPI | 1144079005 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: CA RBT-24-381008) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2024-05-14 |
| Last Update Date | 2025-01-10 |