| NPI | 1346994761 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: UT RBT-24-388354) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2022-02-04 |
| Last Update Date | 2025-03-13 |