| NPI | 1356926851 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106E00000X Assistant Behavior Analyst |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA 106S00000X) |
| Enumeration Date | 2021-03-16 |
| Last Update Date | 2021-07-23 |