| NPI | 1205236130 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: FL 0-17-8064) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 0-17-8064) |
| 247200000X Technician, Other | |
| Enumeration Date | 2014-08-28 |
| Last Update Date | 2019-10-24 |