| NPI | 1215489901 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: FL 0-20-11159) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-17-32968) |
| 247200000X Technician, Other | |
| Enumeration Date | 2016-10-27 |
| Last Update Date | 2020-07-08 |