| NPI | 1275154965 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-20-126582) |
| Enumeration Date | 2020-05-04 |
| Last Update Date | 2025-03-18 |