| NPI | 1144814575 | 
|---|---|
| Former Name | ALEX MENTZER | 
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MI 7401001976)  | 
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CO 1-21-46862)  | 
| Enumeration Date | 2021-02-25 | 
| Last Update Date | 2023-04-13 |