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 |