| NPI | 1255609012 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NY 003261) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 780794) |
| Enumeration Date | 2011-12-08 |
| Last Update Date | 2024-11-27 |