| NPI | 1376145342 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: HI RBT-20-142664) |
| Enumeration Date | 2020-11-13 |
| Last Update Date | 2022-11-16 |