| NPI | 1285146381 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: MI 0-19-9938) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2017-10-30 |
| Last Update Date | 2021-11-09 |