NPI | 1316360175 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 010074-01) |
101YM0800X Counselor, Mental Health (Licence: FL MH21855) | |
101YM0800X Counselor, Mental Health (Licence: NJ 37PC01141400) | |
101YP2500X Counselor, Professional (Licence: NJ 37PC01141400) | |
Enumeration Date | 2014-01-30 |
Last Update Date | 2025-05-15 |