| NPI | 1154627966 |
|---|---|
| Former Name | KYLE MITCHELL |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 3154) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 01096676) |
| 103K00000X Behavior Analyst (Licence: OH 00435) | |
| Enumeration Date | 2011-01-27 |
| Last Update Date | 2020-09-14 |