| NPI | 1295201150 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: HI BA-807) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 1-22-60666) |
| Enumeration Date | 2018-10-18 |
| Last Update Date | 2024-09-30 |