| NPI | 1366980344 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-21-51580) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst |
| 106S00000X Behavior Technician | |
| 222Q00000X Developmental Therapist | |
| Enumeration Date | 2017-02-09 |
| Last Update Date | 2021-07-20 |