| NPI | 1285174995 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: OR ABA-AB-10175646) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: OR 10175646) |
| Enumeration Date | 2017-02-28 |
| Last Update Date | 2022-10-21 |