| NPI | 1346948866 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: FL 0-24-15231) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: GA RBT-19-98514) |
| Enumeration Date | 2023-02-23 |
| Last Update Date | 2024-05-27 |