NPI | 1346747441 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MD F622108051787) |
Additional Taxonomies | 103K00000X Behavior Analyst |
Enumeration Date | 2018-04-06 |
Last Update Date | 2018-04-06 |