| NPI | 1144085853 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106E00000X Assistant Behavior Analyst |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: GA RBT-22-229105) |
| Enumeration Date | 2024-02-21 |
| Last Update Date | 2025-06-18 |