| NPI | 1255632709 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: HI BA-90) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: HI 1-09-6693) |
| Enumeration Date | 2010-11-14 |
| Last Update Date | 2022-11-12 |