| NPI | 1316379464 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CA PSY 25783) |
| Enumeration Date | 2013-07-31 |
| Last Update Date | 2018-02-19 |