| NPI | 1336796515 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-16-23149) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NC 2132) |
| Enumeration Date | 2019-08-21 |
| Last Update Date | 2024-10-14 |