| NPI | 1326693961 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: HI RBT-19-95448) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: HI 517569) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2019-08-08 |
| Last Update Date | 2022-12-02 |