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 |