NPI | 1376191056 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: WV 1-22-58975) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2019-08-27 |
Last Update Date | 2023-07-11 |