NPI | 1205432739 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst |
Additional Taxonomies | 222Q00000X Developmental Therapist |
106S00000X Behavior Technician | |
Enumeration Date | 2020-12-09 |
Last Update Date | 2024-06-03 |