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 |