| NPI | 1174198600 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AL 1-25-79213) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: AL 0-24-15484) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2021-05-26 |
| Last Update Date | 2025-02-10 |