| NPI | 1346871886 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-24-77936) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NC 3981) |
| Enumeration Date | 2020-02-03 |
| Last Update Date | 2026-03-03 |