| NPI | 1386491850 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: NV RBT-24-336020) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: NV RBT4250) |
| Enumeration Date | 2024-05-02 |
| Last Update Date | 2024-06-10 |