| NPI | 1154051597 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA RBT-23-259614) |
| Enumeration Date | 2022-06-16 |
| Last Update Date | 2023-10-05 |