| NPI | 1255997938 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: CA 0-25-15973) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2019-05-17 |
| Last Update Date | 2025-05-23 |