| NPI | 1356982201 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: GA RBT-20-112671) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: GA RBT-20-112671) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2019-10-02 |
| Last Update Date | 2022-11-18 |