| NPI | 1164938486 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: HI BA-861) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT1746113) |
| Enumeration Date | 2017-12-21 |
| Last Update Date | 2024-06-19 |