| NPI | 1386106185 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: MA 2629) |
| Enumeration Date | 2019-04-02 |
| Last Update Date | 2022-01-03 |