NPI | 1316471139 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MD LBA968) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: MD RBT-16-23906) |
Enumeration Date | 2017-04-18 |
Last Update Date | 2022-05-09 |