| NPI | 1235634593 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: NV LaBA0325) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2018-03-28 |
| Last Update Date | 2020-11-03 |