NPI | 1235847997 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT22-240804) |
Additional Taxonomies | 106E00000X Assistant Behavior Analyst |
Enumeration Date | 2022-11-11 |
Last Update Date | 2024-06-20 |