| NPI | 1376172114 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-20-115994) |
| Enumeration Date | 2020-04-03 |
| Last Update Date | 2025-04-18 |