| NPI | 1316183288 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: CA A40060) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA A40060) |
| Enumeration Date | 2008-12-26 |
| Last Update Date | 2019-08-09 |