| NPI | 1366233223 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL 25430442) |
| Enumeration Date | 2025-05-13 |
| Last Update Date | 2025-05-13 |