| NPI | 1306309729 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-19-35647) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 1-39-35647) |
| Enumeration Date | 2019-04-11 |
| Last Update Date | 2023-10-23 |