| NPI | 1265949978 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: OR ABA-AB-10214291) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2018-01-03 |
| Last Update Date | 2021-08-25 |