| NPI | 1225637374 |
|---|---|
| Former Name | IGOR LUIZ MACIEL |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-20-140815) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2020-10-20 |
| Last Update Date | 2020-10-20 |