| NPI | 1265237028 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IN 1-26-88391) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: IN RBT-22-217069) |
| Enumeration Date | 2025-02-17 |
| Last Update Date | 2026-03-17 |