| NPI | 1306371794 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 405300000X Prevention Professional (Licence: FL 005461400) |
| Enumeration Date | 2017-04-24 |
| Last Update Date | 2024-07-03 |