NPI | 1356033807 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: MA 0-24-15077) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2023-05-23 |
Last Update Date | 2024-02-20 |