| NPI | 1184176521 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-2582084) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst |
| 106S00000X Behavior Technician (Licence: FL 23-270603) | |
| Enumeration Date | 2016-11-02 |
| Last Update Date | 2025-06-20 |