NPI | 1184176521 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL 23-270603) |
Additional Taxonomies | 106E00000X Assistant Behavior Analyst |
Enumeration Date | 2016-11-02 |
Last Update Date | 2023-05-11 |