| NPI | 1235526138 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-16-24775) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 0-14-6034) |
| Enumeration Date | 2015-04-20 |
| Last Update Date | 2024-06-17 |