| NPI | 1215438429 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-22-57554) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: HI 0-19-10594) |
| 106E00000X Assistant Behavior Analyst (Licence: HI 0-19-10594) | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2018-02-22 |
| Last Update Date | 2024-09-24 |