NPI | 1144877895 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-21-47979) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2019-08-19 |
Last Update Date | 2021-03-23 |