| NPI | 1144708454 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: CA RBT-22-246615) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2018-07-30 |
| Last Update Date | 2024-08-26 |