| NPI | 1174196232 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: VA rbt-21-175729) |
| Enumeration Date | 2021-07-19 |
| Last Update Date | 2024-08-08 |