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 |