NPI | 1154857316 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TN 1-16-24629) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: AZ BA-0278) |
Enumeration Date | 2017-05-10 |
Last Update Date | 2021-12-22 |