| NPI | 1255938627 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: CA BACB1109673) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2020-10-07 |
| Last Update Date | 2025-04-14 |