| NPI | 1225612070 |
|---|---|
| Former Name | MAYRON PEREIRA PICOLO RIBEIRO |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2021-05-07 |
| Last Update Date | 2021-05-12 |