| NPI | 1285037275 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-16-22166) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 103K00000X Behavior Analyst (Licence: NJ 1-16-22166) | |
| Enumeration Date | 2014-10-03 |
| Last Update Date | 2024-12-24 |