NPI | 1285363994 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst |
Additional Taxonomies | 103TA0400X Psychologist Addiction (Substance Use Disorder) |
103TC1900X Psychologist Counseling | |
106E00000X Assistant Behavior Analyst | |
106S00000X Behavior Technician | |
Enumeration Date | 2022-06-08 |
Last Update Date | 2022-06-08 |