NPI | 1366986804 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NJ 1-16-24323) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NJ 15BC00219600) |
Enumeration Date | 2016-12-16 |
Last Update Date | 2025-07-12 |