| NPI | 1235834219 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: AZ RBT-22-243658) |
| Enumeration Date | 2023-03-31 |
| Last Update Date | 2024-06-17 |