| NPI | 1154826030 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106E00000X Assistant Behavior Analyst |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: CA None) |
| Enumeration Date | 2018-03-24 |
| Last Update Date | 2018-03-24 |