| NPI | 1215645643 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: GA 22242911) |
| Enumeration Date | 2022-11-15 |
| Last Update Date | 2024-07-03 |