NPI | 1164037438 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT20124299) |
Additional Taxonomies | 106E00000X Assistant Behavior Analyst |
Enumeration Date | 2020-09-13 |
Last Update Date | 2021-09-20 |