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 |