NPI | 1184180556 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-19-36366) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2019-02-11 |
Last Update Date | 2020-11-13 |