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 (Licence: MA LABA10000100) |
Enumeration Date | 2021-05-07 |
Last Update Date | 2024-08-16 |