| NPI | 1306618244 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: FL 0-26-2830534) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-23-302218) |
| Enumeration Date | 2023-10-24 |
| Last Update Date | 2026-09-24 |