| NPI | 1346047735 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL B608-117-08-700-0) |
| Enumeration Date | 2025-02-25 |
| Last Update Date | 2026-01-02 |