| NPI | 1346828977 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-26-88357) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-21-161729) |
| Enumeration Date | 2021-04-02 |
| Last Update Date | 2026-04-08 |