| NPI | 1194596833 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106E00000X Assistant Behavior Analyst |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT-23-316798) |
| Enumeration Date | 2024-01-11 |
| Last Update Date | 2025-03-10 |