| NPI | 1356939540 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: OH BACB477883) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: OH BACB477883) |
| Enumeration Date | 2021-01-04 |
| Last Update Date | 2023-10-10 |