| NPI | 1245746262 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-24-73195) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: CA 0-19-10574) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2017-12-28 |
| Last Update Date | 2024-08-27 |