| NPI | 1376045914 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1-23-68106) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: TX 0-21-12329) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2018-02-28 |
| Last Update Date | 2023-10-05 |