NPI | 1144884461 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MT PSY-BA-LIC-3178) |
Additional Taxonomies | 106S00000X Behavior Technician |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-04-23 |
Last Update Date | 2020-05-13 |