| NPI | 1275120396 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: OR ABA-IN-10213207) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: OR BACB626543) |
| Enumeration Date | 2020-12-22 |
| Last Update Date | 2021-01-13 |