| NPI | 1326432139 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-21-47646) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL 0-16-7251) |
| 247200000X Technician, Other | |
| Enumeration Date | 2015-03-19 |
| Last Update Date | 2022-06-08 |