| NPI | 1225880750 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA RBT-24-398516) |
| Enumeration Date | 2024-04-05 |
| Last Update Date | 2025-01-31 |