| NPI | 1386384832 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: UT RBT-22-217902) |
| Enumeration Date | 2022-03-31 |
| Last Update Date | 2022-11-23 |