| NPI | 1326468638 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst |
| 106S00000X Behavior Technician (Licence: FL RBT-20-119225) | |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2014-04-25 |
| Last Update Date | 2025-05-06 |