| NPI | 1205778206 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: NV RBT6479) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: NV RBT-26-523441) |
| Enumeration Date | 2026-04-08 |
| Last Update Date | 2026-05-06 |