| NPI | 1346740040 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: WA BA60906822) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 106S00000X Behavior Technician (Licence: WA cb60781741) | |
| Enumeration Date | 2018-02-19 |
| Last Update Date | 2020-12-10 |