| NPI | 1164939377 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: CA 0-17-8235) |
| Enumeration Date | 2018-01-09 |
| Last Update Date | 2020-06-29 |