| NPI | 1346748100 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NV LBA0300) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2018-01-26 |
| Last Update Date | 2023-03-16 |