| NPI | 1326417361 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-14-15355) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-14-15355) |
| Enumeration Date | 2015-09-21 |
| Last Update Date | 2021-04-07 |