| NPI | 1376179739 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: FL 0-23-14861) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2020-03-18 |
| Last Update Date | 2023-11-22 |