| NPI | 1346756400 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: HI RBT-23-254502) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: HI RBT17-42018) |
| Enumeration Date | 2017-12-27 |
| Last Update Date | 2023-01-20 |