| NPI | 1316201478 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 2377173) |
| 174400000X Specialist | |
| Enumeration Date | 2012-07-03 |
| Last Update Date | 2022-07-19 |