NPI | 1184119174 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 106S00000X Behavior Technician (Licence: CA RBT-19-107965) |
Additional Taxonomies | 103K00000X Behavior Analyst |
Enumeration Date | 2018-06-22 |
Last Update Date | 2022-01-03 |