| NPI | 1194462697 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: FL 0-26-16811) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-21-193666) |
| Enumeration Date | 2022-05-16 |
| Last Update Date | 2026-02-02 |