| NPI | 1285233239 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-20-137092) |
| Enumeration Date | 2020-10-21 |
| Last Update Date | 2026-08-24 |