| NPI | 1285252163 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-24-71766) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-20-122863) |
| Enumeration Date | 2020-07-08 |
| Last Update Date | 2024-05-01 |