| NPI | 1174332092 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: IN 0-25-16177) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: IN RBT-21-182918) |
| Enumeration Date | 2025-01-06 |
| Last Update Date | 2025-06-12 |