| NPI | 1215468426 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NC 138) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 247200000X Technician, Other | |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2025-03-06 |