| NPI | 1164188017 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: PR 0-24-15482) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: PR RBT-21-173920) |
| Enumeration Date | 2021-11-15 |
| Last Update Date | 2024-09-24 |