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 |