NPI | 1386072650 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-21-56168) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2013-10-24 |
Last Update Date | 2021-12-07 |