NPI | 1275163081 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TN 1-22-59981) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2020-01-21 |
Last Update Date | 2022-07-27 |