| NPI | 1376959171 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NJ 15BC00041700) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NJ 1-15-19095) |
| Enumeration Date | 2014-07-01 |
| Last Update Date | 2025-01-08 |