NPI | 1235486168 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-10-7493) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 1107493) |
Enumeration Date | 2012-08-09 |
Last Update Date | 2019-03-18 |