| NPI | 1356881734 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: FL 0-20-11008) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2017-03-03 |
| Last Update Date | 2021-09-30 |