| NPI | 1326374133 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: HI BA79) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 1-12-10075) |
| Enumeration Date | 2009-10-29 |
| Last Update Date | 2024-07-15 |