NPI | 1164173563 |
---|---|
Former Name | LUIS D MORELL |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL BACB639585) |
Additional Taxonomies | 103K00000X Behavior Analyst |
Enumeration Date | 2022-01-17 |
Last Update Date | 2023-01-09 |