| NPI | 1326755380 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: HI 903) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: HI RBT-20-110516) |
| Enumeration Date | 2022-10-31 |
| Last Update Date | 2025-02-14 |