| NPI | 1285174433 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL BCBA-1-21-49094) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: 0-20-11035) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2017-03-06 |
| Last Update Date | 2021-04-12 |