| NPI | 1184234312 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: FL 0-23-14473) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-20-126046) |
| Enumeration Date | 2020-08-03 |
| Last Update Date | 2023-06-09 |