| NPI | 1306530712 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-23-277524) |
| Enumeration Date | 2023-06-07 |
| Last Update Date | 2025-04-21 |