| NPI | 1356919799 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-21-171380) |
| Enumeration Date | 2021-06-13 |
| Last Update Date | 2023-11-26 |