| NPI | 1225905037 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: NV RBT6041) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: NV RBT-25-492583) |
| Enumeration Date | 2025-10-17 |
| Last Update Date | 2026-01-13 |