| NPI | 1326792201 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: FL 0-23-14274) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-19-108988) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2022-02-09 |
| Last Update Date | 2023-02-01 |