NPI | 1285125815 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-22-59709) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2018-05-18 |
Last Update Date | 2022-06-07 |