| NPI | 1336608017 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: OR RBT-19-91156) |
| Enumeration Date | 2019-03-13 |
| Last Update Date | 2023-09-14 |