| NPI | 1184970576 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-13-13955) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 0-12-4983) |
| Enumeration Date | 2012-08-03 |
| Last Update Date | 2014-03-25 |